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

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Wimbledon 1902

[Report of the Medical Officer of Health for Wimbledon]

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Road Schools, 7; Trinity Schools, 3; Central Schools, 2; Catholic
Schools, 1; Cottenham Park School, 4; Queen's Road Schools,
3; and Private Schools, 11.
The 80 cases occurred in 64 houses, in one 4 patients, and
in 8 others 2 each. Forty-nine occurred in what I might term old
houses, and 31 in houses which have been built within the last 7
years, and where no insanitary condicions, such as defective
drainage, were existing.
After the premises were thoroughly disinfected on the recovery
of the patient or removal to hospital, the drains and sanitary
arrangements were examined and tested, alterations being
necessary at 20 of the houses, and the drainage system of two were
entirely re-constructed.
A great majority of the cases occurred in the low lying and
damp parts of the district.
For some years past I have noticed the frequency with which
this disease occurs at premises where fowls are kept in close
proximity to the dwellings—this being the case at 21 houses out of
64 during the year.
Whether there is any connection between this fact and the
disease I am unable to say, but it is a point worthy of note.
Sixteen persons were notified during the year as suffering
from enteric fever, 3 of whom died, representing an attack rate
of .3 per 1,000 of the population, and a case mortality of 18.7
per cent.
Last year there were 12 cases and no deaths; in 1900, 20
cases and five deaths ; and in 1899, 47 cases and six deaths.
The patients' ages were as follows:—1 to 5 years, one case;
5 to 15 years, seven cases ; 15 to 25 years, one case ; 25 to 65 years,
seven cases. The three deaths were patients between the
ages of 35 and 45.
With the exception of three in one house, which undoubtedly
were contracted from each other, there was no connection between
the cases.
Enteric
Fever.