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7f66d5aa-b5bd-40a5-b3a7-dcff8f9c142a | The results obtained in the case of school children compare favourably with those in patients of older years, where medical advice is often not sought until the disease is so far advanced that a complete cure is impossible, thus bringing sanatoria into unmerited discredit. TABLE 4. NUMBER OF CHILDREN REFERRED FOR FURTH... |
ebf1f05a-423a-42ba-8643-242915090b6b | FEMALES. Age last birthday Height in inches. Weight in lbs. Height in inches. Weight in lbs. |
7548eada-a125-4188-b163-24636c956cdd | 3 35 31.2 35 30 4 38 35 38 34 5 41 41.2 40.5 39.2 6 44 44.4 42.8 41.7 7 46 49.7 45.5 47.5 8 47 54.9 46.6 52.1 9 49.7 60.4 48.7 55.4 10 51.8 67.5 51 62 11 53.5 72 53.1 68 12 55 767 55.6 76.4 13 57 82.6 57.7 87.2 14 59.3 92 59.8 96.7 15 62.2 102.7 60.9 106 TABLE 6. GIVING HEIGHTS & WEIGHTS AT DIFFERENT AGES. No. |
e6980c99-dca7-4050-8c78-d049a020b1ba | examined 13-14 14-15 15-16 16-17 Height Weight Height Weight Height Weight Height Weight SENIOR BOYS. Acton 16 57.8 81.3 58. 84. ... ... ... ... Beaumont Park 18 57. 79.8 55.9 75.5 62.75 102. ... ... Central 5 ... ... 63.7 118.5 64.2 114.3 ... ... Priory 20 56.3 78.2 58.4 84.4 ... ... ... ... South Acton 20 57.3 82. 56... |
0d467afe-2e65-4dd5-b275-5cd6ed8ab072 | ... ... ... ... Acton Wells 4 59. 78. 61 90.7 ... ... ... ... Total 112 SENIOR GIRLS. Acton 14 59.2 88.7 ... ... ... ... ... ... Beaumont Park 90 58.6 83.9 60.8 91. ... ... ... ... Central 14 58.0 88.5 60.9 93.6 63.2 119.08 65.7 .132 Priory 36 25.9 83.1 58.9 80.6 ... ... ... ... South Acton 47 58.3 83.9 61.1 88.1 ... .... |
b1881a51-34f0-4f55-a44e-f41c2ce62a31 | 85.5 55.6 74.7 ... ... ... ... Acton Wells 3 ... ... 61. 106.5 ... ... ... ... Total 239 94 TABLE 6—continued. No. of Scholars exam'd Years of Age. 3-4 4-5 5-6 6-7 7-8 8-9 Height Weight Height Weight Height Weight Height Weight Height Weight Height Weight INFANTS (BOYS). Acton 39 36.2 29. 35.3 34.1 40.6 36.5 42.7 39. .... |
7670e9b4-9ddf-4721-a530-6165194a07bd | ... ... Central 79 34.1 30.9 41.1 39.7 42.8 41.2 44.1 46. 46.1 47.9 47.9 51 East Acton 21 40 38.5 38. 34.9 39.7 37 44. 46.2 46.4 51.3 48. 62.8 Priory 83 36.7 32.6 38.9 35.2 41.7 38.3 43.7 43.4 46. 46.5 ... ... Rothschild Road 69 36.7 33.5 39.5 35.5 41.8 39.8 44.3 43.8 45.8 45. 47.1 46.6 South Acton 111 36. |
6b3cb0ed-eb0e-4055-966e-8e27124b9931 | 51.4 39.2 35.5 41.2 38.5 42.5 41.8 44. 46. ... ... Southtield Road 147 38.4 34.6 40.8 37.6 42.5 39.6 45.1 44.9 47.4 47. ... ... Turnham Green R.C. 19 ... ... 40.7 39. 40.9 37.5 43.2 42.2 43. 43. ... Acton Wells 33 36.7 31.1 39.7 38.5 42.9 39.9 43.8 43.8 43.7 44.7 48. 55. Total 697 INFANTS (GIRLS). |
b8deb74d-48ee-4d01-934b-5e1b6a4165ca | Acton 31 36.6 34.2 38.7 36.1 40.9 36.5 43.1 42.9 ... ... ... ... Beaumont Park 92 37.7 31.5 39.5 34.7 41.8 38.9 43.2 40.5 44.0 43. ... ... Central 70 37.7 32.7 40.3 38. 43.6 40.8 45.0 44.3 46.7 47.5 48. 50.5 East Acton 19 37.2 29. 39.7 35.2 38.2 31.2 49. 56. ... ... 48. 50. |
44bdd2ce-5247-4c4e-8574-41df56cd3dc5 | Priory 84 36.8 31.4 39.4 35.2 41.4 38.2 43.5 41.1 43. 39.2 ... ... Rothschild Road 57 38. 30.5 39.9 36.8 42.1 37.5 43. 40.2 26.5 48.1 45.9 48.9 South Acton 122 36.6 32.6 36.8 34.4 40.4 36.6 43.1 42.3 44.4 41.1 ... ... Southfield Road 131 37.3 31.9 40.1 32.1 42.8 39.9 44.5 42.9 46.5 46.3 ... ... Turnham Green R.C. 21 ..... |
966aa131-d0d7-4694-8388-965763d797cf | 40.6 40.1 45.7 42.5 ... ... Acton Wells 25 ... ... 39.75 36.7 40.7 39.1 43.7 42.8 47.3 50.3 ... ... Total 642 95 Nutrition. In last year's report the question of mal-nutrition was discussed and it was also stated that in certain of the schools the average height and weight of the children were consistently and uniforml... |
7e564363-106b-4481-8155-b8c0b2de3960 | Dinners are provided by the Education Committee for those children who are so under-nourished that they are unable to obtain full benefit from their education and in whom poverty is the probable cause of the mal-nutrition. There are two restaurants in the district at which arrangements have been made to receive the sch... |
080afd01-e4d7-4805-a446-f9d3914f1bc2 | As far as possible the bigger children are given rather larger helpings of pudding, but this is difficult to administer if many children 96 appear at the same moment, and the restaurant staff is hard worked. Slices of plain cake might be added to the menu to be given to the older children as they leave the premises. Oc... |
74a427bf-d169-4556-a7f6-4e000840d323 | The Dinner Centres have been visited on various occasions to observe the condition of the children, and those who appeared specially undernourished were medically examined on a later occasion. In one case a child had been receiving dinners for several months but did not show much improvement in nutrition. On examinatio... |
34c1abda-01cb-4fb6-af68-04924ea2e350 | 97 Sixty-three per cent, of the Scarlet Fever cases occurred amongst school children, the numbers in the different schools being as follows :— Scarlet Fever. Acton Infants 6 Girls 3 Boys 1 Beaumont Park Infants 21 Girls 9 Boys 8 Central Infants 38 Girls 18 Boys 18 East Acton 2 Priory Infants 42 Girls 12 Boys 22 Rothsch... |
2fe06d2e-aa90-4de6-a6e9-353c17a9f26a | Fifty-eight per cent, of the Diphtheria cases occurred amongst school children, the distribution of the disease being as follows :— Diphtheria. Acton Infants 1 Boys 1 Acton Wells Boys 1 Beaumont Park Infants 3 Girls 1 Boys 1 Central Infants 8 Girls l0 Boys 3 Priory Infants 3 Girls 6 Boys 3 Rothschild Road 6 South Acton... |
56715259-aaa6-4e00-81d1-99ea552fad27 | Both diseases are compulsorily notifiable under the Infectious Diseases Notification Act and on receipt of a notification from the medical attendant a visit is paid to the home and inquiries made as to the probable source of infection. If the case is removed to the Hospital, all the other children living in the infecte... |
c360154f-f15c-4907-aa0d-b748b36f6adb | Without entering into minute details of the means employed, it may be briefly stated that our efforts at the prevention of Scarlet Fever and Diphtheria are directed towards the isolation of the patient and the disinfection of any articles which may have become infected. In other words, it is assumed that the infection ... |
aa083752-583a-4610-b033-cbaade123195 | During the year we had several instances of these undetected cases, giving rise to limited outbreaks in different schools. In addition to the "missed" cases, there are other factors which render it difficult to fulfil the essential conditions of successful isolation. The infection must not be handed on by the patient b... |
1937b095-e0be-4cdd-a7cc-d965be33760d | Moreover, the patient should have recovered perfectly before he is cleansed and discharged from seclusion, but in Scarlet Fever we have no means of ascertaining whether the patient is absolutely free from infection or not. In Diphtheria, the conditions are different; the germ has been isolated, and a bacteriological ex... |
ff25eba1-b5c2-4095-af91-2b97a9f3edb3 | This admission has been seized by the manfacturers of disinfectants for their own purposes, and the claim is made that school infection can be largely controlled by the routine disinfection of class rooms. Various correspondents in the public press appear to consider that all that is wanted is the expenditure of a quit... |
0f21f2d4-4c28-4e71-81b0-9ec8fda0e89a | The results, as far as Acton is concerned, have already been published in the Minutes of the Education Committee and it might be of interest to insert them here. The experiment was tried from February, 1909, to February, 1910, and the following table illustrates the results for the five months February—July, 1909. From... |
54048c16-68ba-4165-856e-75ec3cb8de23 | When a person is sick, the epithelial layer of the mucous membrane is denuded and the vomit is almost certain to be infectious. It is important to recognise this early infection for disinfection purposes. Disinfection of special class rooms or of particular articles should be undertaken where there is reason to believe... |
ae73dcc4-4e54-47e1-beb2-e2d2ca0f807a | From various schools stumps of pencils or old penholders were procured and cultures were made of the bacteria found upon this material. In another school a class of girls was watched and any pencils which had been placed in the mouth were preserved for examination. Bacteriological examination revealed extensive growths... |
1a4e00cd-1c41-4093-a87d-785877800e20 | These two diseases are not compulsorily notifiable under the Infectious Diseases Notification Act, our knowledge of their distribution is confined largely to the notifications made by the teachers. Measles was prevalent in the district during the second quarter of the year, and an account of the epidemic is given in th... |
058d0e4c-c51c-4082-a95d-e75bb3051916 | The following tables represent the visits paid by the Nurse together with the schools where children attended and the diseases from which they suffered. 104 Visits Paid by School Nurse. School. N.-East. N.-West. S.-East. S.-West. Total. Priory 83 112 54 161 410 Acton 9 25 4 55 93 Beaumont Park — — 90 115 205 South Acto... |
dc4bb6ef-f0f2-47d0-90f4-b8abe4d58d0a | Scarlet Fever 12 24 35 52 123 Diphtheria 3 2 2 5 12 Measles 52 50 177 265 544 Chicken Pox 21 23 66 71 181 Whooping Cough 55 9 28 36 128 Mumps 60 48 65 202 375 Sore Throats 16 17 8 30 71 Colds 9 8 7 20 44 Scabies 8 — 4 6 18 Eczema 1 3 1 11 16 Ringworm 18 15 14 67 114 Dirty Heads 11 9 36 65 121 Sore Heads and Faces 7 — 8... |
dce415b9-9352-4562-a29c-369d0f9172a1 | Nurse carried out the treatment of certain minor ailments in the schools. During the last quarter 266 visits were paid and 35 children were treated. The distribution of these cases and the diseases treated were as follows:— Priory. Children treated 16 Diseases from which children were suffering:- Ringworm 18 Impetigo 2... |
d5b94b22-cb90-43a1-88c9-3761e3ce960e | In the case of children suffering from a certain amount of physical deformity, such as slight infantile paralysis, it is often found possible to retain them in the ordinary schools on making special arrangements with the teachers that these children leave school a few moments before the general dismissal. Parents are w... |
e8cb7949-f277-4798-9108-faad91780f45 | Of the 26 children examined last year who were classified as backward, 4 have left school, 2 have left the district, I shows marked improvement, 19 are making slight progress, but are much behind the normal development to be expected from their age. 107 Of the 22 children for whom some special method of teaching was co... |
629c31ec-7c27-4c75-9a2d-a6bbcdd4e35c | In this district one child A. B., aged five, is suffering from tuberculous disease of the knee joint and has to wear an apparatus to keep the knee stiff, which makes an ordinary desk impossible for her. We visited some of the newest London County Council Schools for Physically Defective children in order to obtain info... |
f36aabce-c700-4ea3-ab5e-6f4543c3ada6 | 108 Another child, F.D., aged 14, is suffering from infantile paralysis and is also mentally weak. Her intellectual powers are considerably below the normal standard, and the lameness is increasing, but as the child lives near the Rothschild Road School she is able to continue school attendance there by special arrange... |
e1845d81-9400-4bab-8596-0609c8126be5 | School though living in Brentford district. In another case a child is dumb but also mentally deficient and it is doubtful whether much educational improvement would result from sending this child to a Special School. Physical Exercises. Physical exercises are taught in the schools in accordance with the syllabus of Ph... |
d3899403-ed71-48bd-a599-4efbbdf330e6 | This method has been found useful, when, for various reasons, it is necessary to make a second examination. SWIMMING. During Season of 1909, 15 Swimming Classes were held weekly during School hours and seven classes out of School hours. Total 22 classes weekly. School. Classes per week. Total No. of Scholars who have a... |
0e9c851d-8722-48d3-b63d-21b55fdc03d7 | Acton Boys 1 59 611 16 12 Beaumont Park Boys 3 110 908 54 44 Central Senior 4 155 1,515 100 27 Central Junior 2 64 900 29 18 Priory Boys 4 102 835 39 25 Priory Girls 1 52 439 5 3 South Acton Senior Boys 2 44 273 40 20 Southfield Rd. Senior 3 97 771 47 29 Acton Wells 2 45 587 28 15 Totals 22 728 6,839 358 193 110 In con... |
4bab51ba-ee83-4c51-9d38-50448a5333ac | Printed by J. Taylor, 66, Avenue Road, Acton. |
9f2d94eb-7c1c-4d73-9e39-12707292e806 | Urban District of Acton. ANNUAL REPORT OF THE Medical Officer of Health TOGETHER WITH THE REPORT ON THE Medical Inspection of Schools FOE THE YEAR 1910 BS X 1/18 ACT 18 Urban District of Acton. ANNUAL REPORT OF THE Medical Officer of Health FOE THE YEAR 1910 3 By the Order of the Local Government Board, dated December ... |
adf06de1-55f2-4e55-8a28-f88c237a8fe9 | In addition to any other matters upon which he may consider it desirable to report, his Annual Report shall contain the information indicated in the following paragraphs, together with such further information as We may from time to time require :— (a) An account of any influences threatening the health of the District... |
8bb8f2b5-08d7-4e38-b5ad-d30ea612ccb0 | (f) A statement as to the sufficiency and quality of the water supply of the District and of its several parts, and in areas where the supply is from water works, information as to whether the supply is constant or intermittent. (g) A statement as to the pollution of rivers or streams in the District. 4 (h) A statement... |
7c42f2f6-af14-4594-b0b7-3be91f567d6f | (k) A statement with regard to the housing accommodation of the District as required by Article 5 of the Housing (Inspection of District) Regulations, 1910, and an account of any other action taken by the Council under the Housing, Town Planning, &c. Act, 1909, bearing on the public health. (l) A statement as to the vi... |
b91449b8-27d0-45e3-8e21-be903a85c538 | To the Chairman and Members of the Acton Distriet Council. Gentlemen, I have the honour, to submit to the Council a report on the sanitary conditions of the district, together with the vital and other statistics for the year 1910. The population has been estimated at 57,000 inhabitants. There is again a lower death-rat... |
c7d35a3f-eb6b-4725-b8bc-7bed31eb65ae | The death rate from Phthisis and other tubercular diseases was again lower. The house-to-house inspection in the South-West and SouthEast Wards has been carried on throughout the year without interruption, and proceedings have been taken under the Housing and Town Planning Act for the closure of some of the houses. 6 T... |
9f696598-95d8-4412-b64a-b2ad06a97adc | Zymotic Death Rate, .95 per 1,000 inhabitants. Phthisis Death Rate, .75 „ Death Rate from other forms of Tuberculosis 16 per 1,000 inhabitants. Respiratory Death Rate, excluding Phthisis, 2.3 per 1,000 inhabitants. TOPOGRAPHY. The district, with an area of 2,304 acres, is about 3 miles in length and 1½ miles wide. It i... |
02e52007-62ab-4797-bd30-fa18d813d4c9 | This clay forms the exposed surface over the greater part of the district north of the Great Western Railway, but in the central and western portions the clay is covered with a bed of ochreous gravel, which in some parts reaches a thickness of 10 or 12 feet. In the eastern and southern portions the clay is covered with... |
5a9acc59-b21b-4193-9e02-d4d7a10b7f53 | The West Ward comprised that portion of the district north of the centre of the High Street from Birch Grove to the Railway Bridge, High Street, and west of the North London Railway, from the Railway Bridge, High Street, to Bollo Lane. The East Ward consisted of that part of the district south of the centre of Uxbridge... |
314eafc3-9e86-48f3-a751-8a76610f4001 | Cumberland Road, Grove Road, Acton Lane (past the Priory Schools), Petersfield Road to the North and Southwestern Junction Railway to the boundary of the parish at the south-east corner of the Sewage Works, and thence along the boundary of the district in a northerly, easterly, northerly and westerly direction to the p... |
071890a5-21b3-430a-a034-659e181ccaaa | In the Annual Reports for 1906—1909, this distribution was followed in the preparation of the statistics, but in 1909, another alteration was made in the boundaries. The last alteration affected only the South-East and South-West Wards. The North-East and North-West Wards remained unchanged. The boundary line between t... |
65f8a191-972d-4636-b202-6e27f76d7710 | The following streets were transferred from the SouthWest to the South-East Ward:—Acton Lane from the Roman Catholic Schools to the boundary of the district by Chiswick Road, Montgomery Road, Fairlawn Groye, and Fairlawn Avenue, Chiswick Road, Chiswick High Road, Silver Crescent, Thorney Hedge Road, south side of Antro... |
af787086-4fe7-4d0a-970b-1d7146062c1d | As this estimate is primarily based upon the results of the last Census, it will be readily understood that at best it can only be an approximate one. Nearly ten years have now elapsed since 9 the last official census was made, and the further we are removed in time from that census until the next, the more incorrect o... |
5935acb5-5391-4e8f-b680-21ce844b34bc | But the average number rose from 5.9 at the Census of 1891 to 6.2 at the Census of 1901 To what extent, if any, the average number per house has increased since the last Census it is difficult to estimate, but it is possible that the next Census will reveal a still higher average number of persons to each house. The es... |
c967d292-141c-4eec-ac34-ae7e83bad07b | Number 1477 Rate per 1,000 25.8 per 1,000 Rate per 1,000 in England and Wales 24.8 „ 1,000 Rate per 1,000 in 77 large towns 25 „ 1,000 Rate per 1,000 in 136 smaller towns 23.7 „ 1,000 1,477 births were registered in the district This number corresponds to a birth-rate of 25.8 per 1,000 inhabitants. On Table I the birth... |
91bc8329-40ef-448c-9a27-05b9cc76c15a | If the age-incidence of the population has not altered since the Census, the birth-rate per 1,000 females between the ages of 15 and 45 years was much lower in Acton last year than in England and Wales. Of the births registered 767 were males and 710 of females. In 1909 the proportion of male births to 1,000 births of ... |
78844783-384b-47a2-9ea6-0cf668507b89 | 21.2 16.8 25.4 39.2 The birth-rates of the North-East and North-West Wards were lower than in 1909, but in the South-East and South-West Wards they were higher. The infants registered as having been born out of wedlock number 36, which figure corresponds to a rate of 24 per 1,000 births. This is higher than the illiget... |
aafde102-c1f2-4b14-afc6-1ef7a5e5b91f | Number 623 Death-rate per 1,000 10.9 Death-rate per 1,000 in England and Wales 13.4 Death-rate per 1,000 in 77 large towns 13.4 Death-rate per 1,000 in 136 smaller towns 12.4 11 It was stated in last year's report that although certain directions are issued as to the deaths that should be credited to a district, there ... |
2c406429-c94f-4f32-b726-bb17a670517c | By the term "nonresident" is meant persons brought into the district on account of sickness or infirmity and dying in public institutions there; and by the term "residents" is meant persons who have been taken out of the district on account of sickness or infirmity and have died in public institutions elsewhere. The "p... |
54a1cc8f-2683-4b4c-9827-ce4a2994a1fd | It will be observed that the Local Government Board Regulations refer to persons brought into a district on account of sickness and infirmity and dying in a public institution thereIf the above definition be accepted, fatal accidents should be included amongst the deaths of the district wherein the accident occurred, w... |
2cbc8815-743b-42df-a361-941618cdd6c5 | A husband and wife living in Acton were appointed care-takers of a house in Kensington. The man died after he had acted five weeks as care-taker, and the widow returned to Acton, and the return of the death was forwarded here. If such a proceeding be correct, we should have to inquire into every death that occurred. It... |
a0a94647-e67e-4fca-8d8b-7558eee56f37 | The other two were simply stated to have lived in Acton, but no address was given. In two instances wrong addresses must have been given. One of the addresses given was Middle Road, Acton. There is no such street. In the other case, a person died in the Gordon Boad Workhouse, Peckham, and was stated to have lived in Ac... |
6fa6fd78-d90b-4d9d-99c0-196973b8390d | Prior to 1905, the deaths of "residents" occurring outside the district were not included in the returns, so that an exact comparison with the earlier years cannot be made. The death rates since 1904 have been as follows:— 1905 12.5 per 1,000 1906 13.2 1907 13.9 1908 13.1 1909 12.6 1910 10.9 The lowest death rate befor... |
0b83384e-aa0f-4113-8368-a1e426e9e28c | It has been explained in previous reports that in order to compare the death rate of one district with that of another it is necessary to make an allowance for the difference in age and sex constitution of the different districts, Females live longer than males, and a district containing a preponderance of women would ... |
9d33a0ee-5af5-4a55-99f4-8ce8d0337e56 | The "factor for correction" for Acton is 1.04240. If the "crude death rate" 10.9 be multiplied by this figure, the corrected death rate is 11.4. The "corrected death rate" for the 77 great towns for 1910 was 14.3, and for the 136 smaller towns 12.9 per 1,000 inhabitants. The death rate is 1.7 per 1,000 lower than that ... |
c14c6fb4-1879-454c-aa47-0854a65daf02 | If one were allowed to review these figures merely from an economical point of view, it would be interesting to speculate on the financial value of sanitary efforts. It is true that all the saving is not due to sanitary efforts, nor is the greatest saving among the productive elements of the population, but even in the... |
9b455022-cfe7-4167-a94c-1af6da93e295 | It is true that this age period is not a productive one but it is not sufficiently recognised how important this age-period is. The diseases which kill infants affect a still larger number of the survivors, leaving behind sequelae which so affect the tissues as to create a favourable ground or nidus for subsequent dise... |
8bd48ff6-8563-484b-906e-5982ac1b3a6b | It is in the South-East and South-West Wards that the reduced death rate is most noticeable. When comparing the death rate in these wards with that of previous years, it should be remembered that the boundaries of these wards were rearranged, and a portion of the South-West Ward was transferred to the South-East Ward. ... |
e04d77a3-37c1-4726-983d-72bcfcce3040 | Although the death rate has been reduced, there is still room for much improvement. The age constitution of the Ward is different to that of the other wards, and for this and other reasons, it is probable that the death rate of this ward cannot be brought down to the level of the other wards, but an excess of nearly 40... |
bb9d823d-0d28-479b-ae43-b40c17bd5b6c | From the other diseases there was no very marked difference in the number of deaths as compared with 1909. The highest number of deaths occurred in April with 60, and the lowest number occurred in August with 36 deaths. Although the number of deaths occurring in Public Institutions is lower than that of 1908 and 1909, ... |
8db0370f-926e-4184-87a5-1bc73c37b7de | Thomas's Hospital 1 London Hospital 1 Belgrave Hospital 1 Infants' Hospital 1 St. George's Hospital 1 King's College Hospital 1 Heart Hospital, Soho1 Hostel of God 1 St. Marylebone Infirmary 1 St. George's Infirmary 1 MEASLES. Only one death occurred from Measles during the year and that was in December. There was a li... |
8a6522aa-58d4-4dd0-ae09-54a832e6677a | The increase of severity seems to be due to the concentration of the poison. Of more importance, though, is the season in which an outbreak occurs. In industrial districts, Measles is more fatal in cold than warm weather. 18 Apart from the lessened severity of the initial symptoms the liability to lung complications is... |
9684034f-509b-468f-88dd-e0df7612c48e | The child was excluded from School on January 31st. The symptoms first appeared on the previous Friday (January 28th), and the child had not mixed with the other children on January 31st. The child attended the class in Room V. Great care was exercised to prevent the spread of the disease in this class, and a child who... |
5a2d24a5-7c64-46b2-a848-533d5a5c6240 | The first case in this class exhibited symptoms on February 25th (Friday), and the child was last in school on February 24th. She was kept home on the Friday and the rash had appeared before Monday. 19 The second case exhibited the symptoms on March 14th (Monday), and had not been in school since the previous Friday (M... |
fbd59541-01cd-4ffd-8d56-aac6c031832e | Class V in the Infants Department was a particularly well-protected one, 40 of the children being known to have previously had Measles and only 9 were stated not to have had the disease. The class was kept under observation, and no further cases resulted in the school. The second case was entirely independent of the ab... |
740abcd1-a51a-40c2-8038-69ac7b57167c | A child sickened of the disease on November 12th (Saturday), and by November 14th (Monday) the rash had appeared, and she was not at school after November 11th. The class was also a fairly well protected one; out of a class of 58, 42 were stated definitely to have had Measles, 5 were uncertain, and 11 had not had the d... |
fd2ae8cc-0dcf-4572-8a59-d392f2d04e34 | The boy attending Class VII infected two other children in his home, and one of the latter died of the disease on Decemher 5th. The death occurred in a child 21 months old—an age peculiarly susceptible to a fatal attack of Measles. Fortunately, the case in Class IV occurred towards the end of the week, and the child wa... |
3177cbdb-cdd7-421c-8bd2-d3519bc8e143 | In Class IV, out of a total of 45, 14 had not had Measles; and in Class VII, out of a total of 51, 22 had not had Measles. The other four classes which had been in contact with Class IV were better protected. In Class I, 35 had had Measles and six had not; in Class II the figures were 35 and 6; in Class III, 29 and 12;... |
762de9be-ec24-46c0-b4fc-0cfbace242d6 | On the other hand, every means should be taken to prevent an epidemic of Measles during the winter months. In industrial neighbourhoods Measles is very fatal in cold weather, owing to the frequency in which lung complications occur. Apart from the question of age incidence, it would be of great benefit if an epidemic c... |
22d53ec8-c586-45a3-980d-3609dd7350b7 | This simply means that the opportunities for the introduction of Measles in London and the surrounding suburbs are so numerous, a class with a large number of unprotected children is the most vulnerable. But it does not follow that even in such a class efforts to postpone an outbreak will not be successful. In Class IV... |
3fd09ff0-247e-4662-9dcc-2b76d1db8e6f | This was the only case that occurred in the school, though only eight out of a class of 22 were protected by a previous attack of Measles. Two cases also occurred in Beaumont Park Infants Department, and in both instances the children were last at school on May 13th (Friday). Before the following Monday the initial sym... |
72bbe9e2-a0d4-4874-8333-b084c1c8bd63 | A history of the outbreak of Measles in the latter part of the year will show the efficacy of school closure on the appearance of an early case in a class. The closure was rendered less difficult owing to the proximity of the Christmas Holidays. A further history of this outbreak will be given in a subsequent report, b... |
3bab9767-c68a-4385-b562-e1b3092648f2 | We have no means of ascertaining to what extent the disease is prevalent 23 except from the death returns, and from the notifications received from the schools. The children of school age, though, constitute only a small proportion of those attacked. Another difficulty lies in the fact that the illness is ushered in wi... |
35f3a8f8-a3c5-4761-bec8-67a3d88e3b33 | When a case occurs amongst school children, the contracts attending the infants departments are excluded, but when a case occurs amongst a child under school age, unless the parents notify the school authorities that there is a case of Whooping Cough in the house, both the teacher and the sanitary authority are in comp... |
85541aa4-e81e-4b97-8565-dc35c9416eba | 24 There is a slight increase in the number of notifications, but a considerable drop in the number of deaths that occurred. Ninety cases were removed to the Isolation Hospital and four deaths occurred there. One death occurred in a public institution outside the district. Twenty-five cases were nursed at home and four... |
c13542e1-81a6-4c6b-ba44-e343af0861c9 | Swabs were taken from the throats of all children suspected of having had a recent inflamation of the throat. Two children were found harbouring the germs of the disease. Both children were excluded from school and the notifications ceased. In Beaumont Park some cases were notified on the reopening of the schools after... |
3b98d590-3ad7-4376-af96-152290947ba3 | As a result of the bacteriological examination four were found to be harbouring the germs of Diphtheria. These latent cases of diphtheria constantly crop up, and their detection and mode of dealing with them give rise to continual misunderstandings and complaints. Before the specific Bacillus was discovered, it was kno... |
647b5cbd-f2e6-4d91-a3fd-db13f05e0f10 | Moreover, it is not only during convalescence from Diphtheria and after slight attacks of sore throat that the bacillus may be present, but also after contact or association with Diphtheria patients, both adults and children are liable to harbour the bacillus in the throat, even when no local constitutional disorder of... |
6509a3c1-52e6-4ff9-a65f-b855fe09e0b3 | From a public health point of view the administrative is, of course, the most important, but administrative measures should be based, upon clinical and bacteriological experience. 26 If Diphtheria may be defined as any pathological condition, local or general, due to infection by specific Diphtheria organisms, then Dip... |
a6b480eb-e8d1-4af5-8ffe-f8c4ac3cd4f6 | The infective agents are held in check by what we call vital resistance on the part of the tissues, or diminished virulence on the part of the specific microbe. The nature of the immunity enjoyed by the carriers of virulent bacilli is obscure, and the only method as yet available to meet the requirements cf prompt admi... |
1bd7e59d-b720-44df-b943-bf10619a5cd1 | The period of the residence of the organisms in the sick and the healthy is probably determined by the same factor, and in both classes of cases the organism has been known to persist for very long periods. In the majority of cases, the germs disappear well within the usual six weeks df isolation. In a disease of such ... |
ce4c3640-4138-4127-87f4-f082e0c138b7 | Section 126 of the Public Health Act, 1875, gives powers with regard to "any person who, while suffering from any dangerous infectious disease, expose themselves," etc. Section 52, part 4. of the Public Health Acts Amendment Act, 1907, states that "If any person knows that he is suffering from an infectious disease, he... |
63982060-40ec-4253-abe8-4d1ba424eca9 | 28 When one remembers that the Diphtheria carrier is like the above-mentioned fever patient—in an ineffective state although not suffering from the disease; one considers that the legal powers are equal with regard to the two clauses. One would probably be in a stronger position if " in an ineffective condition " were ... |
a0f676fd-ed0a-4313-b6db-7fac466dfa90 | Our efforts are directed with the object of the discovery and the sufficient isolation of the carrier case, and the possible spread by the other inmates of the infected household. Whenever a case of Diphtheria is notified, certain inquiries are made with a view of ascertaining the source of the infection. In the past, ... |
1e6753fd-40da-492f-9074-5a82bbefca07 | 29 If a history of a previous sore throat in the family be obtained, the doctor in attendance is communicated with, and either he is asked to take a swab, or permission is obtained to take one. When two or more cases are notified from one class-room in a school, attention is paid to that class and if that class or depa... |
6e3374b9-96e5-42a6-83ee-724b8d30d8d8 | The percentage is highest in the immediate contacts, that is, in members of the same family; next, in classmates at school; it diminishes rapidly as we enlarge the interpretation so as to include such extremely remote contacts as the general inhabitants, and the percentage showing the bacilli is a negligible one. Theor... |
f7455986-f9b4-4369-81a4-9a3e996bb567 | Occasionally it is understood that the child will be seen by a private doctor, when as a matter of fact a doctor is not called in. At other times, the child is taken to see a doctor, who pronounces the case not 30 to be Diphtheria, without a bacteriological examination. This only occurs in some of the. schools, but the... |
0787d74a-def6-44bc-bf2d-aaabd6b059ed | There seems no risk to the carrier cases themselves in being mixed with ordinary clinical Diphtheria. Although the nature of the immunity is obscure, yet, for the time being, it seems to be absolute, and there is no record of a carrier case exhibiting clinical symptoms in a general Diphtheria Ward. Nevertheless, it is ... |
9aeec583-9cca-4a1b-91da-ec3cea6d4c65 | The Public Libary is communicated with, and during quarantine books are not given out to members of the family. 31 It will be understood from the foregoing remarks, that it is inadvisable to adopt for all cases a hard and fast rule. An. endeavour is made to deal with each case upon its merits, but, as a result, misunde... |
f16b35ba-f5d5-44ef-9aa2-cfb21efea2f7 | option but to remove the case to the Hospital, which the father reluctantly accepted, but evidently misbelieving the possibility of any risk being attached to the case remaining at home. A few days afterwards another child of the same family exhibited: symptoms of clinical Diphtheria. Both parents were then convinced.,... |
241b7128-899c-4999-8d65-0bc1ba97c6a0 | If she cared, a second swab could be taken by the doctor who had seen the child and sent to the Lister Institute at the Council's expense, or I would take another swab, as the doctor was not then in attendance. She preferred the second alternative, and the result was again positive. The mother then called in another do... |
96650966-32d1-48fa-9cf5-fdc966053141 | Instructions were left as to the manner in which the case should be dealt with pending a definite result. Meanwhile, the child was excluded from school as a Whooping Cough contact. Not hearing anything from the doctor, I called on the third day and found that no doctor was in attendance on the school-girl. Permission b... |
7248d958-496e-4bb3-b3f2-a847049da58e | During the year the arrangements for the distributions of Diphtheria Antitoxin have been extended. At the October meeting of the Health Committee the Order and Circular of the Local Government Board was considered. Under Section 133 of the Public Health Act, 1875, any local Authority may, with the sanction of the Local... |
5a14d8ba-cf75-425e-8657-da93424ec513 | To prevent misapprehension it should be observed that the free distribution of Diphtheria Anti-toxin, which is authorised by the Order, must not be regarded as a substitute for removal to hospital of a patient suffering from diphtheria, nor as implying that the patient to whom Anti-toxin has been administered may prope... |
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