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62d4e33f-f579-4ac9-8fe4-b09d24b562e3 | ), St. Margaret's and Central Wards. William Wood (Cert. Sah. Inst.), Parish of Eltham and St. George's Ward. Alfred G. Potter (Cert. San. Inst.), River Ward. William Tedham (Cert. San. Inst.), St. Nicholas Ward. Thomas Powell (Cert. San. Inst.), Burrage and Glyndon Wards. 3 Inspectors under Food and Drugs Act:— Willia... |
8e683e50-e627-42de-ada6-2d668500d78e | Public Health and Housing Committee Clerk:— Charles Ellis. General Clerks:— Amyas Britter (A.R. San. I.) Geo. H. Triggs (A.R. San. I.) Junior Clerk:— H. M. Collyer. Mortuary Keeper:— Frank Leason. Medical Officer of Health SIDNEY DA VIES, M.A., M.D., Oxon ; D.P.H., Camb.; Fellow and Member of Council of the Incorporate... |
bb484ada-ad61-495a-9ac2-b2aff4ae708b | Area of Borough 8276-6 Acres Population—Census, 1901 117,178 do Estimated to middle of 1907 129,336 Inhabited Houses—Census, 1901 18,086 Total Houses to middle of 1907 22,524 Persons to a House-Census 6.47 Marriages 945 Births 3295 Birth Rate 25.5 Deaths 1616 Death Rate 12.5 Infantile Mortality 113 per 1000 births 5 TA... |
4f02f52a-eca3-45c7-93d4-746fe88942bc | Population—New Houses 11 Births 14 Marriages 16 Deaths—Woolwich Death Rate compared with other Boroughs 16 Lives and Illness saved 19 Infant Mortality—Preventive Measures—Feeding of Infants 19 Still-births 23 Mortality under 5 years 23 Zymotic Death Rate 23 Inquests and Uncertified Deaths 23 Deaths in Public Institutio... |
b7f65a7a-445d-4b97-bfcf-068c510a7af6 | and Pneumonia 52 Tuberculosis—Voluntary Notification 53 Source of Infection—Occupation 55 Bacteriological Diagnosis 56 Sanatorium Treatment—Results of 57 Cancer—Classification 60 Alcoholism 62 Syphilis 62 Meteorology 63 Part II.—Administration. Water Supply—Plumstead Well 64 Food and Drugs Act—Percentage Milk Adulterat... |
23a569b8-fbf4-4f45-bb81-d2c645d4a8f8 | Housing of the Working Classes (continued)— Statistics of Special Areas 75 Unoccupied and new houses 76 Council's houses, North Woolwich 76 Houses Registered under the By-laws 76 Inhabited House Duty 77 Common Lodging-houses 77 Underground Rooms 78 Factories and Workshops—Inspections—Outworkers 78 Bakehouses 78 Ice-cre... |
0da11f6a-da2c-4fa5-ab33-fea270b849aa | Table I. —Population. Births and Deaths for the whole Borough from 1895 to 1907, including deaths of non-residents in the district, also deaths in Public Institutions in the district, and deaths of residents registered beyond the district 93 Number of Inhabited Houses, the average number per house, and the acreage 94 „... |
1ca8cf03-db15-443f-8f77-4a6228dd4e88 | —Deaths from various causes arranged by Wards in 1907. Total Deaths in Public Institutions in district in 1907 103 „ IVb. —Infantile Mortality during the year 1907 105 „ V. —Case and Death Rate for various diseases per 1,000 population estimated to the middle of the year for the years 1891 to 1907 107 „VI. —Vital Stati... |
ed7b70a8-0175-4232-bc41-aece977d2a9f | —Summary of Statistics for the second Quarter of 1907 corrected for Public Institutions 117 „ XII. —Summary of Statistics for the third Quarter of 1907 corrected for Public Institutions 119 „ XIII. —Summary of Statistics for the fourth Quarter of 1907 corrected for Public Institutions 120 „ xiv. —Deaths from various ca... |
e5d8ee92-6e1f-4928-a232-361e4fa5e4e3 | —List of Streets Inspected—House-to-House—and number of houses where defects were found 132 „ xvii. —Prosecutions in 1907 under the Public Health (London) Act and By-laws and Housing of the Working Classes Act 137 „ xviii. —Summary of Articles Analysed under the Sale of Food and Drugs Act 138 „ xviiia. —Proceedings in ... |
18bccb8b-b008-4afe-899e-245e7b406681 | —List of Cow-houses in the Borough, 1907 147 „ XXIII. —List of Milk Sellers 148 Appendices. Infants' Milk Depot. Advice to Mothers. 10 PREFACE. To the Mayor, Aldermen, and Councillors of the Metropolitan Borough of Woohvich. Me. Mayor and Gentlemen, I have much pleasure in presenting you with my Seventh Annual Report o... |
04cdfa55-67d1-471e-8473-e9381c3b0ef5 | Special consideration has been given in this report to the following subjects:—(1) Home Isolation of Scarlet Fever, and missed cases of this disease. (2) Phthisis (results of Sanatorium treatment). (3) Notification of Zymotic Enteritis. (4) Infants' Milk Depot—see Appendix. (5) Health-visiting re Infant Mortality—see M... |
92d56c05-a644-4ea4-a357-f33bb2737320 | The population of the Borough to the middle of 1907 has been estimated on the supposition that the increase since 1901 has been proportional to that between the last two decennial censuses, thus giving 129,336. Dividing this number by the number of houses, 22,524, we get 5.75 persons per house. The number of persons pe... |
8fec08a1-b37e-4646-a38c-231526940f75 | Estimated increase in the year 1991 Natural increase (excess of births over deaths) 1682 2. The following table shows the number of houses at the Census, and the number certified for water each year since:— Total houses in Borough at Census, 1901 18,496 New houses to June 30th, 1901 257 do. do. 1902 1,292 do. do. 1903 ... |
db83ac5c-62c3-4a93-89b2-c298738cbf23 | Doubtless there are, in addition to these, many unoccupied rooms and flats. 4. The following table gives for each Ward the population and number of inhabited houses at the Census, the number of persons to a house, the number of new houses certified for water certificates, and the present estimated population. The popul... |
6f900961-45ca-469c-8292-b5a5d3cee179 | 810 9,080 9,842 10,118 19,640 7,226 Number of Inhabited Houses 1,325 1,126 441 1,671 878 1,735 1,697 1,612 1,638 1,805 2,805 1,353 Persons to a House 6.57 9.27 6.78 6.83 9.20 5.67 5.78 5.63 6.00 5.61 7.00 5.34 New Houses— April to June, 1901 - - 4 - - - 8 12 61 7 85 80 June, 1901, to June, 1902 — — 71 — - — 8 79 265 7 ... |
33be6d1f-b5b7-4e4f-8a26-7c71d19df03e | 1903 12 — 33 — - — 9 40 153 7 239 250 June, 1903, to June, 1904 4 — 89 14 — 8 — 30 94 7 185 151 June, 1904, to June, 1905 5 18 2 - - 2 — 33 102 12 170 139 June, 1905, to June, 1900 11 14 — 9 - — — 36 69 2 150 99 Juue, 1906, to June, 1907 21 5 5 6 - - - 27 36 7 91 83 Total Houses 1,378* 1,163* 645 1,700* 878 1,745 1,722... |
1f677811-0c2b-4391-aef5-5f078f6ada66 | 800 9,788 3,841 10,360 8,078 9,726 9,609 10,182 13,173 10,100 22,775 12,745 * In Dockyard, St. Mary's and River South Wards the number of new houses is probably less than the number of old houses which have been demolished. 13 14 births. 5. The number of births was 3295 (corrected for children born in the Infirmary, Fe... |
e718f1c0-c62a-4fc5-a7f6-b30b3d5cfc9a | The following table gives the average birth-rate of each parish and ward during the years 1901-5, 1906, and 1907, and for purposes of comparison the corresponding rates of the neighbouring Boroughs, London, and England. There has been a great decrease in Plumstead Parish, and a slight increase in Woolwich. The decrease... |
6e210b1d-1c4e-4952-b348-93e8d83582e9 | George's „ 36.9 35.0 37.0 Plumstead Parish 30.1 27.8 24.1 Barrage Ward 23.4 23.4 20.8 Herbert „ 25.3 24.0 21.8 St. Margaret's „ 33.6 33.6 27.5 Central „ 27.5 24.6 19.6 Glyndon „ 30.6 28.3 25.3 St. Nicholas „ 32.5 31.1 27.3 Eltham Parish 24.0 22.0 22.4 Greenwich Borough 27.6 25.4 24.2 Lewisham 25.7 23.3 23.8 15 Average ... |
5c809486-2ccd-43ea-8d40-aa4ff2c6aa66 | West Ham 33.1 30.5 28.6 East Ham 33.8 28.1 26.3 Erith 34.1 30.0 29.9 London 28.2 26.6 25.8 England and Wales . 28.2 27.0 26.3 Woolwich Borough 29.2 27 7 25.5 Correction has been made for births in the Infirmary, Female Hospital, and Wood Street "Home for Mothers and Babies;" and the births distributed to the Wards to w... |
b139359b-7938-406c-9bfe-978fb18c51b7 | In Eltham, on the other hand, after a decrease in the second quinquennium, there was a marked increase in the third, due, no doubt, to the building of the Well Hall Estate and its occupation by a large proportion of young married people. Average of 1891-1895 Average of 1896-1900 Average of 1901-1905 1906 1907 Woolwich ... |
a761a269-6185-4c0a-951b-642c4d6f7c63 | 79 of the births registered were illegitimate, giving a rate of 24 per 1,000 births, compared with 13, 17, 17, and 22 in the four preceding years. The illegitimate birth-rate in London was 37. 16 Marriages. 9. There were 945 marriages. The marriage rate was 14.6 compared with 16.4 in 1906; 407 marriages were performed ... |
fbb4b30e-9079-40bc-8bd5-d2f88db9ac8a | The nett death-rates (which are the only ones referred to, unless otherwise specified), are obtained by distribution of deaths in public institutions, and deaths on which inquests were held, to their proper locality, according as they occur outside or inside the Borough. But in order to institute a fair comparison betw... |
628b85ec-8ba1-44f4-85ac-63778d3eff6a | By multiplying by 1.0690, the factor for age distribution, we get the corrected death-rate, viz., 13 4, which rate should be used in comparing Woolwich with other places. The following table shows the nett and corrected death-rates of Woolwich, compared with London and the adjoining Boroughs :— 17 Nett. Corrected. Eng... |
e0fba3a4-60e9-4d34-9cb3-a27ce48a9733 | 1906. 1907. Woolwich Parish 16.5 15.5 14.6 River Ward 17.8 18.1 15.3 18.8 14.3 17.7 Dockyard „ 16.5 16.8 15.6 St. Mary's ,, 12.5 10.0 11.5 St. George's „ ... 16.8 12.8 13.2 Plumstead Parish 12.9 12.2 11.9 St. Nicholas Ward 12.8 12.7 12.9 Central ,, 11.0 10.1 9.9 Glyndon ,, 15.1 15.1 13.8 St. |
593045e0-c5e7-44ef-9f7e-31af7899e741 | Margaret's ,, 12.9 11.2 12.1 Herbert ,, 10.9 10.6 10.9 Burrage ,, 13.4 14.4 11.2 Eltham Parish 10.2 10.2 10.0 The Parish of Woolwich has never had so low a death-rate as last year. Plumstead had a lower rate in 1905, and Eltham in 1902, 1903, and 1905. Central, Herbert, and Eltham wards had the lowest death-rates. Rive... |
07c2a7f8-b821-4aeb-a392-872946c8df2f | It is seen that in Plumstead Parish there has been a progressive improvement, though the last five years show a more marked decline than the previous ones. In Woolwich and Eltham Parishes the five years, 1896-1900 had a higher rate than the previous five years, but the decline in death-rate since 1901 has been much mor... |
56616b1d-6b51-4f45-8bdf-338494f6b756 | Average 1886-1890 Average 1891-1895 Average 1890-1900 Average 1901-1905 1906 1907 Woolwich Boro' ... 17.2 16.9 13.9 13.1 12.5 Woolwich Parish *20.4 19.3 20.1 16.5 15.5 14.6 Plumstead „ 16.4 16.0 15.1 12.9 12.2 11.9 Eltham „ ... 13.0 14.6 10.2 10.2 10.0 London „ 20.0 19.8 18.5 16.1 15.1 14.6 * Three years—1888,1889 and ... |
4cfd6c0c-a74c-4b1a-b503-15128ad0a4f9 | In 1905 the numbers were 14 0 and 13'4 respectively, and in 1906, 14 7 and 13'6. These rates are estimated on the numbers of the two sexes found at the census of 1901. The relative proportion of the sexes has, not improbably, been recently much modified by emigration of males. 16. Tables VI. and VII., kindly supplied b... |
83189fa7-a6bc-4695-8e97-806abff0ac90 | Such people are, for the most part, of the well-to-do classes, who, being better able to provide against illness and bad health, have normally a lower death-rate. Correction can be applied for age distribution but not for class distribution. 17. Lives saved. In the last two years, I have estimated that 384 and 259 live... |
74bc333a-f962-4ff2-8b41-adde9fefc196 | The deaths under one year were only 372 compared with 391 in 1906. Owing, however, to the rapid fall of the birth-rate the infant mortalily (deaths under one year per 1000 births) was higher, viz., 113 compared with 111 last year. It was, however, below the average of the five preceeding years, viz., 119. The following... |
acd7cb91-0cc5-433c-b8bb-7c3a269ad17b | 1906. 1907 Plumstead Parish 113 97 108 St. Nicholas Ward 135 107 121 Central „ 105 81 111 Glyndon „ 107 118 86 St. Margaret's „ 100 78 119 Herbert „ 89 71 99 Burrage „ 94 134 79 Eltham 97 94 140 Greenwich 137 119 100 West Ham 158 149 131 East Ham 131 127 108 Erith 112 85 London 138 132 115 Seventy-Six Towns — 146 127 E... |
1aed9028-b9db-47bc-9cc1-174f037ac087 | The rate in Eltham was higher than it has been since 1901, but below the average of the previous ten years. The County of London had the lowest infantile mortality recorded. 20. The following table gives the infantile mortality during the four past quinquennia in each parish of the Borough. 1886-1890 1891-1895 1890-190... |
aa8aa3eb-958b-40ea-aa69-71a44f102651 | It shows that over one-third of those who died were under one month old, and nearly one-fourth under one week old. Fifty-four deaths were from premature birth, compared with 65 and 75 in the two preceding years, and of the remainder, 20 (24 in 1906) were attributed to Atrophy, Debility, and Marasmus, indefinite terms a... |
895e85f0-3d30-445f-9abc-47455cc008bc | Compared with 1906, the past year had, among infants, fewer deaths from premature birth, diarrhœal diseases, and convulsions, and more from measles, whooping-cough, bronchitis, pneumonia, and overlying. There was a gain of 52 lives by diminution of diarrhceal diseases and a loss of 46 lives by increase of measles, whoo... |
5ca17195-8361-486c-bd28-fdb166aa4c3a | Miss FitzGerald visited nearly all those occurring in Woolwich Parish, and a large number in Plumstead and Eltham, and left and explained a card of instructions on infant feeding. The card of instructions is sent 22 by post to all suitable cases which cannot be visited,- but this is far from having the same effect as a... |
a53c15a4-dcf6-4bee-b54f-529e72a6673c | Miss FitzGerald has obtained the following important information as to the feeding of infants in Woolwich Parish, and as to the method of feeding of 115 infants who died in the Borough under one year. Report on Method of Feeding of 500 Infants Visited in Woolwich Parish. (From notes made on first visits.) Breast-fed 41... |
5928f2f0-3592-4eb8-b42f-9d768612e6db | It is satisfactory to find that 83 per cent of babies are breast-fed for at least one month. The figures in the second table shew how much greater is the mortality among hand-fed children even in a year when diarrhœa was at a minimum. In a hot year the difference would be much greater. The great reduction of infant mor... |
fe27abeb-0bf9-4771-a644-02c9e20a927c | 35 deaths occurred over 85 compared with 26, 36, and 38 in the three preceding years. 25. Zymotic Death-rate. The number of deaths from the seven principal zymotic diseases was 174, giving a death-rate of 1.34, compared with 2.2, 1.0, and 1.49 in the three preceding years. The following table gives the zymotic death-ra... |
4aef603e-ac42-4cc9-9efc-cf8a30a65b32 | There were 128 inquests compared with 154, 154, 160, 141, and 121 in the five preceding years. The following table gives particulars as to the cause of death:- 1. Natural Causes 86 24 2. Accidental Causes:— Burns 9 Drowning 2 Falls 8 Fractures 3 Run over 3 Suffocation, overlying 9 Other accidental causes 1 — 35 3. Homi... |
62970188-f877-4ee2-b108-6d7ce27258b7 | The deaths from suffocation or overlying have been 5, 10, 8, 8, 8, 4, respectively in the last six years; the homicidal causes were 9, 20; 8, 11, 11, and 15 in the same years. There was a striking reduction last year in the number of accidents and homicides. 27. Deaths in Public Institutions. Table I. shows the actual ... |
70a6a374-4156-4d02-b047-15efc7e75ce1 | 28. No cases of Small-pox were notified, compared with nil in 1906 and 7 in 1905. This is the second year since 1899 in which 25 no cases have been notified. 362 cases of Chicken-pox were notified by school-teachers, compared with 84 in 1906. 29. The number of cases of Small-pox in London was 8. 30. The following retur... |
3024d014-3684-4e18-93ad-5a795c8076df | The following have been the numbers excused on account of conscientious objections since 1901, in Woolwich and Plum stead Parishes: 127, 78, 108, 96, 101, 109, and 170. The lowest number, 78, was in 1902, the year of the Small-pox epidemic. The increase last year is doubtless the result of the recent Vaccination Act, w... |
b56baffa-8c4d-404b-955b-e1188c7e67f6 | Of the 70 who died from Measles, 64 were under 5 years of age; 41 were males; 29 females; 35 were in Woolwich Parish, 28 in Plumstead, and 7 in Eltham. 26 34. 1,453 notifications were received from school-teachers, compared with 646, 661, 1,240, 465, and 825 in the five preceding years. The mortality per cent. of notif... |
053a5573-f727-4066-9aa9-f630abd2112b | No. Rate. No. Rate. No. Rate. No. Rate. Rate. 1891-5 (average) 20 0.49 29 0.51 Not recorded 49 0.51 0.59 1896-1900 (average) 34 0.81 36 0.57 Not recorded 70 0.67 0.57 1901 11 0.26 9 0.13 1 0.14 21 0.18 0.43 1902 10 0.24 31 0.43 . . 41 0.33 0.51 1903 8 0.19 14 0.20 3 0.28 25 0.20 0.40 1904 11 0.26 15 0.21 2 0.18 28 0.22... |
d37b02cc-3692-446c-b03c-22ed002109b2 | 49 1905 4 0.10 8 0.11 1 0.09 13 0.10 0.36 1906 7 0.18 21 0.28 . . 28 0.24 0.40 1907 35 0.87 28 0.37 7 0.55 70 0.54 0.38 27 35. The Borough experienced in the winter of 1906-7 a severer epidemic of measles than has occurred in recent years. The measles death-rate of last year was, however, below the average of the ten y... |
a499edda-4f2f-46cb-98a7-ac0463839337 | In fact, the epidemic of the end of 1906 and the beginning of 1907, though the most severe during this century, was mild compared with several epidemics of the preceding decennium. As in all measles epidemics the total deaths caused are not found under measles. There was last year an excess of 53 deaths from pneumonia ... |
e66e8b71-7ec9-4e5c-8f56-c6b2f38907d2 | The fact that the epidemic was at its height in the middle of a rather cold winter may possibly partly account for the excessive mortality due to the secondary symptoms of bronchitis and pneumonia. Though it is a great mistake to think that exposure to cold during convalescence is the principal cause of death from meas... |
a4643cd9-18e5-4a17-ad03-c08fd5045bc3 | C. J. Thomas 28 and myself at the International Congress on School Hygiene, early school-closure must be allowed to have failed as a means of preventing the spread of measles, and, except in special cases, has been discontinued. Under present conditions it seems hopeless to appreciably lesson the occurrence of measles,... |
ada34545-ff99-44f4-904a-b38fded642b6 | There were 37 deaths from whooping cough compared with 21 in 1906, and, as mentioned above, no doubt many deaths of young children attributed to bronchitis and pneumonia were really due to this cause. 598 cases were notified by school-teachers. As with measles, it is very difficult if not impossible to control the infe... |
1787d54f-23f5-4b47-9d1d-0350c836b801 | School attendance being the chief source of infection, it is advisable, as with measles, that children under five should not attend school when these 29 diseases are prevalent or threatened, and their exclusion has lately been recommended by the Assistant Medical Officer of the Local Government Board in an official mem... |
bebb690e-242c-47bf-bf6b-3e1a988e6d31 | Borough ... 3.15 4.15 7.91 Woolwich Parish ... 2.99 3.83 6.10 Plumstead Parish ... 3.24 4.22 8.56 Eltham Parish ... 3.21 4.71 9.65 London County ... 3.57 4.35 5.46 38. Table III. gives the age distribution, the number in each ward, and the number removed to hospital. St. Nicholas's, St. Margaret's, St. George's and Elt... |
446dcc9c-3eef-4e7c-ba9d-bc3ea66edf15 | The case mortality (proportion of deaths per cent. of notifications), 1.4, was again very low. 40. Hospital Isolation. Of the 1023 cases, 868, or 85 per cent., were removed to one of the Fever Hospitals, compared with 86, 84, 81, and 78 per cent. in the four preceding years. 47 cases, or 4 per cent., were reported, aft... |
f36ebfdd-29b9-466a-a451-834f809abb04 | Of the infecting cases, 5 had some form of rhinitis, on or after their return; 1, otorrhoea; and 1, cough. The following notice is now sent to the friends of all children discharged from hospital after scarlet fever, by the Asylums Board:— "It is recommended:— 1. That for three weeks after leaving hospital, the patient... |
d7393219-66a5-413c-9e50-44b96ea59c3d | Hospital isolation means much greater expense, longer isolation, and often the contraction of secondary infection. It becomes, therefore, important to inquire whether satisfactory results are obtained by home isolation. Last year, out of 155 cases isolated at home, 15 were followed by 18 secondary cases in the same hou... |
528c1cdd-1f64-461a-a0c4-b88b0a9f93d1 | The remaining two secondary cases occurred 13 and 14 days after commencement of isolation. It cannot be said that these were due to failure of isolation as it is well known that the incubation of scarlet fever is, occasionally, as long as three weeks and longer. It is equally probable that they were infected by the pri... |
2b3b14dc-8dc6-492b-8f1e-4d0b6b46849f | Some of these were never notified and had no distinct symptoms of scarlet fever, but a history of sore throats made it probable that they had had a slight attack of this disease. 44. In 42 cases infection was attributed to friends and neighbours, and in 79 cases to school attendance; in 9 to fellow lodgers; and in 9 to... |
9ac9a786-a7ef-4d2a-bb28-6e9c85b7bce8 | As, however, it obviously spread through the attendance of the Goldie Leigh children at the Wickham Lane School, the children were excluded from school for three weeks, after which the outbreak ceased. For the second year in succession, Gordon School was the seat of a considerable outbreak. After the occurrence of five... |
21aaa181-6576-454d-803c-58184d58e131 | They, and other suspicious cases, were excluded until certified free from infection. A large number of suspicious cases absent from school were visited by your Medical Officer of Health, and one at least was found to be suffering from a mild form of Scarlet Fever. Notwithstanding these steps, the disease continued to s... |
b223361c-c577-40da-80e0-42564e09b539 | This was probably a case of intentional concealment, but it is impossible to show in such cases that the parents were aware that their children were suffering from an infectious disease. There had been no medical attendance. The boys were aged 10 and 13 respectively, and in classes where probably most susceptible child... |
65b6404f-3b90-4705-b290-e4ffaa74a38e | 47. The Annual Report for 1905 contained a special report on a statistical investigation into school incidence of scarlet fever and diphtheria during the ten years 1896-1905. c 34 48. In November I reported as follows on medals for school attendance:— "The recent outbreaks of Scarlet Fever and Diphtheria have emphasize... |
74531a6e-1aaa-4122-bd21-6b86bc6cf2e7 | There are two principal reasons why children go to school when poorly and suffering from infectious disease. These are, anxiety not to miss school attendance, and neglect or inability to obtain medical advice. The first is probably much the most important. School medals are given to children if they attend punctually a... |
0090177e-852f-47b4-8efc-434d89bab9d7 | The educational authorities do not seem to have 35 nised that it is just as important, from the point of view of health, to keep children at home when ill, as it is, from, the point of view of education, to get them to school when well. The Education Committee of the London County Council have been considering the ques... |
68a6b202-a8c4-40ac-8908-86997bd34c4a | The rate has only been twice lower since 1894, viz., in 1903 and 1904. 24 of the notified cases were bacteriological, i.e., had no symptoms. 50. There were 15 deaths, compared with 29, 18, and 23 in the three preceding years. The death-rate was 0.12; the rate was lower in 1903 (viz., 0.11), but higher in all the remain... |
cb4af812-ce66-4964-be08-b38898c32d42 | The Borough 1.71 2.80 1.83 Woolwich Parish. 1.63 3.43 1.85 c 2 36 1901-5. 1906. 1907. Plumstead 1.87 2.26 2.36 Eltham 1.62 6.70 1.57 London 1.90 1.70 1.85 52. 230 cases, or 83 per cent. of notifications, were removed to hospital, compared with 67 per cent. in 1906. Certificates of efficient home-isolation were given in... |
4c9fae76-ab41-4a0a-89c7-28ee98355ebe | If the Diphtheria death-rate which prevailed from 1896-1900 had been in operation last year, there would have been 60 deaths from this disease last year instead of 15—the actual number. 53. Bacteriology is now systematically used to prevent children attending London County Council Schools in an infectious state. After ... |
7f3f5405-7423-4512-9ce6-e9efa55f03a2 | Mistaken Diagnosis. 39 cases, or 14 per cent. of notifications, were, after removal to hospital, stated not to be 37 theria. The percentage of the three preceding years was 7, 14, and 8 respectively. 55. Source of Infection. In 74 cases, a probable source of infection was noted, viz., in 41, other inmates of the house ... |
23a42d91-bab8-4cf7-a2dd-10b7ef586a19 | He was kept at hospital three months before he was free from infection. On inquiring at a house where two cases of diphtheria had occurred a boy living next door was found to have a sore nostril; he also had diphtheria bacilli and was sent to hospital. These cases show how infection is carried, and demonstrate the adva... |
68c57458-0d4c-4c33-afa2-d288b6e1adc1 | A child in the same house attended school for three days with a running at the nose before she was notified as having diphtheria. Within ten days of her ceasing attendance six other children began with diphtheria. Six further cases occurred up to the end of November. Then a similar occurrence took place, a boy with nas... |
2fb592fd-a253-45c7-81c1-efeb4dcc24c6 | Bacteriological Diagnosis.—679 swabs were sent to the Lister Institute to be examined for the presence of diphtheria bacillus. In 128 the true Klebs Loffler bacillus was found (in 6 of these, Hoffman's Bacillus co-existed with the Klebs Loffler bacillus); in 171 Hoffman's Bacillus was found, and 380 were found free fro... |
a2fe28af-2df1-4480-8c5d-d0192b8f15e1 | Of the 175, 148 had no noteworthy abnormal symptoms, while 27 had symptoms, viz., 6 had tonsilitis, 9 congestion or exudation of fauces, 1 clinical diphtheria, and 13 some form of rhinitis. Of the 27 cases which had symptoms, 7, or 26 per cent., were positive, while of the 148 cases with no noteworthy symptoms, only 19... |
81940ba9-122b-4cf7-b2d7-44d981e723a6 | The following new directions were issued for use at houses where a case of Scarlet Fever or Diphtheria had occurred:— "METROPOLITAN BOROUGH OF WOOLWICH. Scarlet Fever and Diphtheria. School Attendance.—Children from this house should not attend day school or Sunday school or other place of meeting until permission is g... |
5f85bd51-1acf-4f04-b3bd-7ca8307a7386 | All carpets, curtains, and unnecessary furniture and clothing should be removed from the room at once, and the floor and furniture frequently wiped with a damp cloth. Do not allow dogs or cats to enter—they may carry infection. The cups, spoons, and other articles used by the patient should be kept and washed in the si... |
564526f9-d40c-40f6-b329-2e238e517b95 | Fresh air should be freely admitted through the whole house by means of open windows and doors. 4. Recovery. A patient suffering from this disease is generally dangerous to others for six to eight weeks, and must not be allowed to mix with other people until the Medical Attendant certifies that there is no danger. In D... |
d2b04902-d605-4804-808e-c21f4a3db987 | Hence in all doubtful cases (as where there is sore throat, sickness, and slight feverishness), careful search for a rash on the body should be made for several days and medical attendance sought. If there has been a previous case of Diphtheria in the house, the school, or the neighbourhood, a bacteriological examinati... |
2af3292c-6baf-4ccc-a29a-38858044441d | Discharges from ear, nose, or mouth, should he received on a rag or piece of soft paper (e.g., Japanese serviette), which should he at once burnt. During recovery the patient should have frequent warm baths unless the doctor orders otherwise. Special precautions should be taken to cleanse thoroughly the hair and scalp ... |
3c2497e1-9eb0-45c5-bfb9-9ee6d1a6a2fd | B. Solution of Permanganate of Potash, about the same strength as Condy's Fluid, for personal use by patient or nurse as directed by the Medical Attendant. N.B.—It is, of course, understood that the above directions are dependent on the approval of the Medical Attendant, who may find it desirable to modify them in spec... |
9d5f2490-618e-449d-848e-d2d847fc6257 | Out of 27 cases notified, 18 went to hospital. 60. There were four deaths giving a death-rate of 0.03 which is the lowest death-rate recorded. The death-rate in London was 0.04 and in the 76 great towns 0.07. At the present rate of diminution enteric fever will have practically disappeared in five years' time. 61. The ... |
f71dc796-a661-4e8f-9971-1ef0d80a2312 | These were all in one family in which the first case was not diagnosed and consequently infected the others before isolation was carried out. 63. Bacteriological Diagnosis. 34 samples of blood were sent to the Lister Institute to be examined for Widal's reaction. A positive result was obtained in 12. Diarrhœa or Zymoti... |
8c086669-50c4-4f85-bb30-b23d65005eae | 43 There were, in addition, 25 deaths from enteritis and gastroenteritis, making a total of 59 deaths or 18 per 1000 births, due to diarrliœal diseases. 43 of the 59 were under one year of age. 65. The following table shows the death-rate from the abovementioned diarrliœal diseases per 1000 births, in each parish durin... |
971f927e-230c-443a-8338-e572f84644dc | Nicholas's Ward had the highest death-rate; Barrage, St. Margaret's, St. Mary's, and Eltham, the lowest. The Council decided in the spring of 1905 to pay for voluntary notifications of the first case of Zymotic Enteritis occurring in a family during the months of July, August, and September; and in January, 1906, it wa... |
792b7ec6-c21e-4ced-8ecf-94c5682bd40b | ; 22 deaths occurring during the same period were certified to be from diarrhoea or zymotic enteritis, so that 11 children died of this disease who were not notified. It appears therefore, that half the cases for which medical attendance was called in were notified. Most cases were notified within three or four days of... |
2d21da6d-86c0-4835-9344-b752ec9b8fca | From inquiries made, I have no doubt that the disease affects persons at all ages, but it is much more serious under the age of 2, and in extreme old age. Local Distribution. As notification is voluntary, it was to be expected that some doctors would be more inclined to notify than others, and this will necessarily aff... |
7483e1ea-ea97-4683-93f0-e6d76fec078c | shows the manner of feeding of all cases under one year of age. Only 4, or 8 per cent. were fed on the breast alone and 9, or 18 per cent., on breast and other food. 3, or 6 per cent., were fed on depot milk; one of these, however, no doubt had other food given as well. The remaining 68 per cent. were nearly all fed on... |
315b996c-f0ba-42a1-a7ce-15b2580349cb | In my report on Summer Diarrhoea, previously referred to, I estimated that an artificiallyfed child was 45 times more likely to die of diarrhœa than a breast-fed child. Of the three children who were fed on depot-milk, all had been taking the milk for at least two months before the zymotic enteritis began. In one, the ... |
8ed0bfd9-ae63-419f-84ca-aed7565f8399 | The other had had an attack of diarrhoea and vomiting before commencing the depot-milk. The mother, in spite of directions to the contrary, insisted on putting depot-milk into a long-tube bottle, and, on being blamed for this, she discontinued the milk. The child died a month later. Table V. shows the cause of weaning ... |
19257c99-88e3-4efe-a9ad-cf023e4555dd | When any insanitary conditions were found at the house, the usual steps were taken for remedying them. 46 Source of Infection.—Some probable source of infection was discovered in 18 cases, viz., mother, 1; sister, 2; brother, 3; neighbour, 12. Deaths.—Table VIII. gives the death-rate from diarrliœal diseases in the sum... |
c169de5b-ff7f-49da-9bb5-ca72a701f631 | It was therefore to be expected that the diarrliœal mortality of this year would be lower than in any of the past six years. As a fact, the deaths from diarrhoea (including epidemic or zymotic enteritis, dysentery, and infantile cholera) were 0.34 per 1,000 living, which is much below the rate for the past six years (s... |
0170550c-bdf6-4910-af59-d9a55645b3fe | In the past three years it has been notifiable in Woolwich, but not in any other part of the County. Deaths from Diarrhœa—Summer Quarter. 1901-4. 1905-7. Rate per 1,000 living—London 2.27 1.91 Woolwich 2.30 1.53 47 It thus appears that while in London the diarrhoea death-rate has decreased in the past three years 16 pe... |
70c5aa1e-b492-447e-be81-f08f1f1f43f1 | The total cost of notification in the three years was £78 2s. Notified Cases of Zymotic Enteritis. (July 1st to September 30th, 1907.) Table I. Age and Sex. Total. Males. Females. Under 3 months. 3 to 6 months. 6 to 9 months. 9 to 12 months. Total under 1 year. 1 to 2 years. 2 to 5 years. Over 5 years. - 93 48 43 6 18 ... |
02ec3b82-a77c-4827-9ecd-e9a5e9077e17 | Woolwich Parish 26 — River Ward (North) 9 2 River Ward (South) 1 Dockyard Ward 12 1 St. Mary's Ward 2 St. George's Ward 2 48 Notifications. Deaths to Oct. 31st. Plumstead Parish 57 St. Nicholas's Ward 43 5 Central Ward 4 Glyndon Ward 3 1 St. Margaret's Ward 5 1 Herbert Ward 1 Burrage Ward 1 Eltham Parish 10 10 93 93 10... |
4020a1d8-9d11-4e9e-9738-2cd70ea63cce | 93 49 34 10 * 14 † 39 ‡ 27 || 13 § o N.B.—* signifies very clean, † clean, ‡ indifferent, || dirty, § very dirty. Table IV. Principal Diet of Cases under 1 year. Total cases 49 Breast only 4 Breast and other food 9 Fresh cow's milk 10 Fresh cow's milk and farinaceous food 11 Nestle's condensed milk 11 Depot milk 2 Depo... |
292f9b05-981b-48d6-a2f4-9678659709f0 | Number of Cases notified each week, with mean temperature of 3 ft. ground-thermometer during week. July Weekended 7th 14th 21st 28th Cases 2 1 0 5 Temperature 56.71 57.00 58.53 59.67 August Weekended 4th 11th 18th 25th Cases 2 7 5 7 Temperature 60.10 60.34 60.84 60.26 September Weekended 1st 8th 15th 22nd 29th Cases 17... |
ed455437-ec70-4ef4-a112-2657b64b4acb | 1 to 5 years. 5 to 60 years. Over 60 years. Total Cases. 1 to 3 months. 3 to 6 months. 0 to 9 months. 9 to 12 months. Woolwich— River North ... 1 2 1 ... ... ... 4 South ... ... ... ... 1 ... ... 1 Dockyard ... ... ... 1 ... ... ... 1 St. Mary's ... 1 ... ... ... ... ... 1 St. George's ... ... 1 ... ... ... ... 1 Plums... |
d24e8950-a929-4c40-8e22-e2fdcb88a56f | Margaret's ... 2 ... ... ... ... ... 2 Herbert ... ... ... ... 1 ... ... 1 Burrage ... ... 1 ... ... ... ... 1 Eltham ... ... ... ... ... ... ... ... Totals 1 9 6 2 4 ... ... 22 51 Table VIII. Diarrhoea, Infantile Mortality, and Temperature of Summer Quarter in London and Woolwich. District. 1901. 1902. 1903. 1904. 190... |
97d6e17b-3747-4e3f-b7d2-93e0c70d2399 | Annual Death-rate from Diarrhœa in Summer Quarter per 1,000 living London 2.77 1.42 1.49 3.39 2.28 3.00 0.46 Woolwich 2.76 0.97 0.96 4.52 1.72 2.54 0.34 Infantile Death-rate for year (deaths under 1 year per 1,000 births) London 148 139 130 144 131 132 115 Woolwich 129 125 108 135 103 111 113 Maximum Weekly Average Tem... |
6e577b27-43cb-4d1a-aebf-1a5202efac10 | ground-thermometer in Summer Quarter ... 62.06 59.68 60.18 61.45 61.62 62.08 59.16 D 2 52 Erysipelas. 67. There were 110 cases of erysipelas notified, compared with 58, 74, 83, and 110 in the four preceding years. There were six deaths. The case rate was 0.85 and the death rate 0.04. These rates are the highest since 1... |
1a82ca50-63ac-4f6f-a984-82a8b2662699 | It seems probable that the disease is always present in London, but is not usually distinguished from other forms of meningitis. Puerperal Fever. 69. There were six cases of puerperal fever notified, compared with two, five, twelve, and eight in the four preceding years. There was one death. The case rate was 0.04 and ... |
9f9db6f2-d287-4206-885d-1223f2777f34 | Influenza caused 30 deaths, compared with 62, 22, 60, 27,. 23 and 33, in the six preceding years. Bronchitis and pneumonia caused 298 deaths, compared with 299, 258, 278, 255 and 265, in the five preceding years (re cause of increase see "Infant Mortality"). 53 Tuberculosis. 71. Deaths. There were 206 deaths from Tuber... |
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