London's Pulse: Medical Officer of Health reports 1848-1972

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Wimbledon 1909

[Report of the Medical Officer of Health for Wimbledon]

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Effra Road Girls and Infants School 12
Durnsford Road Girls and infants School 1
Queen's Road Girls' and Infants School 13
Queen's Road Boys' School 12
Cottenham Park School 4
Trinity Girls' and Infants' School 30
Trinity Boys' School 6
Pelham Girls' and Infants' School 9
Haydon's Girls' and Infants' School 11
Haydon's Boys' School 19
Dundonald Girls' and Infants' School 5
Dundonald Boys' School 2
St. Mary's Girls' and Infants' School 14
St. Mary's Boys' School 5
Central Girls' and Infants' School 9
Central Boys' School 9
Private Schools 29
Schools outside the District 8
The extreme importance of the existence of overlooked or
"missed" cases has been pointed out by Dr. Pocklington on
previous occasions.
At the commencement of my work in Wimbledon there
was an outbreak in Haydon's Road Boys' School undoubtedly
due to this class of case. Notice was sent to the Head Master
to exclude all boys in any way suspicious, and to forward a
list at once to the Public Health Department. Seventeen
boys were excluded and followed up, and two were subsequently
notified to the Department as Scarlet Fever; this procedure at
once put an end to the outbreak.
A similar state of affairs occurred in the Central School,
beginning on the 19th of November. Here again, on two
occasions, every child in the affected classes was examined, and
some were excluded as suspicious, and from amongst those one
was subsequently notified as Scarlet Fever.
Another very striking instance showing the way the mild
cases are missed occurred in December.
On December 6th a child was taken ill with a sore throat,
the doctor who was called in suspected Diphtheria, and a swab
was taken with a negative result. Another child, aged 2, had
a slight sore throat on the same day, which was also swabbed
with a negative result. On December 21st the mother was notified
by the doctor in attendance as suffering from Scarlet Fever.
She called in the doctor on account of sore throat on the 15th, and
it was not until the 21st that the doctor noticed she was peeling
and notified her. The two younger children on the onset of
the mother's illness had been sent to Battersea, and the one
22