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9d48a81c-4c4b-4a6d-8c23-c8780874120a
It is hoped that this parent will appreciate the results of medical inspection. It would be well if the large stores which cater for the needs of the 'working classes would stock school children's garments of a more hygienic type than those which are now supplied. The expense need not be greater, it is only a question ...
f5958d60-10ac-4106-925e-792f8cad378c
In the process of giving advice to parents who are present during the medical inspection of their children with reference to the treatment of simple ailments, we are often confronted with a fixed belief in some remedy which has been in use through several ' generations of a family, and treatment of this kind is persist...
98eff5ed-efb9-43e7-909d-6ff754dba6ef
110 There are still parents who hold that whooping-cough may be cured by taking a child near gas works or through a tunnel. Whether improvement is obtained through the counter-irritant action of the vapours inhaled, or due to the mild antiseptic effect of the sulphuric fumes, are certainly not problems considered by th...
83d55c79-7093-48cf-993d-999477a486ed
During the course of a year's work the routine examination of children accompanied by their mothers brings to light an astonishing number of popular beliefs. In lung complaints there is a special value in goose grease, it is considered far superior to other oils or medical remedies. Possibly this is due to the energy a...
87a93037-bf7e-4c41-a1ad-76332bb928b0
111 Bead necklaces are exceedingly common among young children, or in the case of boys an amulet may be worn. This is partly for ornament and partly as a prophylactic against disease; blue beads have a special merit in " keeping away colds or quinsy," and coral is for " luck." Both are probably a relic of the times whe...
6056945f-bdda-42c9-b010-0a1c1b69a517
It is difficult to understand why a plug of " chewing tobacco " should be inserted into the ear in cases of otorrhoea, but in some parts this is a popular remedy. With regard to infectious diseases we learn that these may be of the " inward " or " outward " variety. There is a great dread of any application of soap and...
cf9bc434-e948-4d7e-9628-b1f0add1283d
Numbers of parents of fairly educated type explain their delay in getting treatment of some childish ailment because " he will grow out of it when he is seven." At that, 112 age enlarged tonsils and adenoids are miraculously supposed to vanish, ear discharge or squints will be things of the past, and for this reason th...
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We hope that future years will bring into practice this very important branch of education for the elder scholars in the Girls' Department. Mentally and Physically Defective Children. It has been the practice of the Education Committee of this district to enter into an arrangement by which physically and mentally defec...
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Her case seems to be one of arrested development, as she did not walk or speak until 113 six years of age. On examination, no sign of feeble-mindedness is shown, but the child is backward for her age; so she has been kept in an ordinary school in the class suited to her attainments, and has made fair progress there. A....
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McC., who was found during medical inspection to be suffering from cleft palate, has been admitted to the Royal Free Hospital, under Mr. James Berry, F.R.C.S., and has undergone two operations there. Her condition is now much improved. Blind Children. Two blind children attend the Blind School in Edinburgh Road, and on...
1b463218-7b7b-489b-9015-51663622bc80
114 Deaf Children are sent to the Ackmar Road School under the L.C.C. Six children are at present attending this school and are conducted under care of a guide, We have recently recommended the admission of three other children to this centre. One child has been in attendance at the Victoria Hospital for Sick Children,...
2c7d5749-81e0-4a11-a058-1c07b498be0b
The arrangements made in previous years continue in force, and physically-defective children are specially examined by the S.M.O., and it is now possible to suggest that children with slight curvature of the spine shall be treated with special exercises, under the care of a certificated instructor who lives in the dist...
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He is a bright, intelligent child, and is anxious to attend school, so the plan is being tried of allowing him to go to the Junior Department, where he is provided with a special Ilkley chair and table on the L.C.C. pattern, as in this way the injured leg is kept straight. 115 I. C., aged 10, had her left leg amputated...
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We have much pleasure in reporting the progress of A. B., a child who was suffering from tuberculous disease of the kneejoint. The child had to wear an apparatus to keep her knee stiff, and at the request of the S.M.O. in 1908 the Education Committee provided her with an Ilkley couch and table, which the child used in ...
dcc60431-af5e-4dd0-86e5-e0517fba6571
6d., and it has the advantage of being suitable for children of different sizes. An alternative method of education in the case of A. B. would have been attendance at one of the L.C.C. special schools, at a cost of £10 per annum in addition to the charge of conveyance, and the special chair is still in use; so the fina...
3ffa768a-3a53-40cf-b447-d28319cb5200
If these movements can be executed under conditions where a good supply of fresh air and suitable food are obtained, it will be seen that the structure of the body is built up wisely during the growing period. Children are therefore encouraged to take part in all kinds of running games, in which a considerable number c...
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In the senior departments, the principal games for the boys are football and cricket, while the girls have basket-ball, net-ball and hockey. Of course, on the asphalte the play in hockey is very fast, and somewhat unfits the girls for field play, but the value of the games cannot be over-estimated, and the girls thorou...
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In some of the newer schools the playground is marked out for tennis, but this is not so popular, as only four can play at a time. Moreover, for drainage purposes the asphalte cannot be entirely level, and this is a great drawback in tennis. Other games include bean bags, twos and threes, circular jumping, leapfrog in ...
ce926c99-1419-4ad5-9e8f-030aa418a023
Geography is taught in the happiest manner by dances and songs. For instance, a Japanese song and dance is represented by the children carrying Jap. umbrellas and copying the postures adopted by the people of the country. We have also seen delightful dances of elves and fairies, where the children wore beautiful but in...
9db4be2d-7bc2-4340-93f5-db731da78439
On another occasion, the subject of the game seemed unfamiliar, and on enquiry the teacher was told, " Oh, we are playing C—,"alluding to a recent murder trial which had attracted much popular interest, and which the children must have heard discussed at home. An interesting lesson is given on the laying of the tea tab...
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In one school, eggshells tinted in various colours are used as flower pots; each child has its own 'pot," and the teacher instructs how the seeds are to be sown. After this, the growth is watched daily by the children, and thus they become familiar with the laws of Nature. In other schools, instruction is given in anim...
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Carpets and rugs have been plaited and woven to measure by the children, so that as many scholars as possible share in the work. The occupants are dolls wearing crinkled paper dresses, which can easily be renewed when soiled. Another department has made beautiful models of a lighthouse constructed of paper, and a large...
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In former reports we have drawn attention to the good work which is being performed in Nature-study, especially where the playground space permits of small plots being used as individual gardens for the scholars. At Acton Wells Boys' School a further development of a gardening scheme has taken place during the past yea...
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Careful notes are made of each day's work, and accounts kept by each boy of the expenditure upon his plot, with the value of the produce obtained from it The scholars are allowed to have the produce from their own plots. An allowance of 1s. per head is granted to provide seed. In the first year's working an expenditure...
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Practical instruction in gardening is given for two hours weekly, and the scholars seem exceedingly keen on their work. This interesting scheme has been drawn up by the Head Teacher, who has done much practical gardening, and he is assisted in giving the instruction by one of the class teachers. We feel the educational...
1ed6d36e-56b7-4907-a481-466d5bc613a2
This method has been found useful when, for various reasons, it is necessary to make a second examination. Special Examination of Teachers. Two teachers have been examined, as the Committee required special reports concerning their health. SWIMMING. During the season of 1911, 35 swimming classes were held weekly during...
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of Scholars who have learnt to swim this season, Acton Boys 1 860 19 12 Acton Wells Mixed 2 899 50 34 Beaumont Park Boys 6 3058 117 77 Beaumont Park Girls 1 478 29 18 Central Senior 5 2197 139 55 Central Junior 2 966 24 16 Priory Boys 5 2249 77 51 Priory Girls 2 972 24 13 South Acton Boys 5 2054 82 65 South Acton Girls...
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We remain, Your obedient servants, D. J. THOMAS. LILIAN E. WILSON.
ce8b586e-c287-42c8-a14a-b684aa005208
Urban District of Acton. . Annual Report . OF THE Medical Officer of Health TOGETHER WITH THE REPORT ON THE Medical Inspection of Schools, for the Year 1913. BS XI/18 ACT 20 Urban District of Acton, . Annual Report . OF THE Medical Officer of Health . . for the Year . . 1913. INDEX. Page. Anterior Poliomyelitis 32 Baby...
593439e5-041d-45fa-b341-eb45b4536429
Ward distribution 17 Diarrhooal Diseases 65 Diphtheria 27 Enteric Fever 81 Factories and Workshops 81 & 88 Home Office Table 88 Housing 76 House to House Inspection 79 Infant Consultations 60 Infantile Mortality 45 „ * 1907—1910 49 & 57 1911—1913 57 , , Employment of married women in relation to 50 Inquests 73 Inhabite...
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County of Middlesex 20 Outworkers 89 Population 6 Sanitary Improvements—Table of 91 Scarlet Fever 29 Sewage Disposal 76 Slaughter Houses 75 Tuberculosis 37 , Deaths 37 , Notification 37 , Occupation of sufferers 37 & 43 Unsound Food 75 Whooping Cough 37 Zymotic death-rate 19 3 By the Order of the Local Government Board...
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* 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 Distric...
3180b4cc-caa7-4531-8ae4-db3c91462177
(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 waterworks, information as to whether the supply is constant or intermittent. (g) A statement as to the pollution of rivers or streams in the District. (h) A statement as...
2d4ff01e-e189-42ff-8b6a-3bc55a12aeb0
(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. (I) A statement as to the v...
d2155352-243c-45d6-9398-3b94f2df9f77
To the Chairman and Members of the Urban District Council of Acton. Miss Smee and Gentlemen, I beg to submit my Annual Report on the Vital Statistics and Sanitary conditions of the district for the year 1913. The population at midsummer has been estimated at 60,000. This is lower by over 2,000 than the estimate of the ...
df4a1a10-c980-43f8-b387-d5437f9242f0
There was an increase in the number of notifications of Diphtheria, but the number of deaths from the disease remained the same as in the previous year. 6 There was another reduction in the number of notifications of Enteric Fever, and no death occurred from the disease. The Public Health Tuberculosis Regulations, 1912...
a8961ae8-38a5-4c12-a26d-cfae975d6204
A number of houses in Shaftesbury Road, Junction Road, and Stanley Road are let out in one and two-roomed tenements, and it is only by frequent inspections that the premises are kept in a fairly sanitary condition and overcrowding prevented. The following is a summary of the vital statistics for the Year:— Estimated po...
b66d8ea1-824e-4e73-9feb-a7b4f1615ec3
POPULATION, SOCIAL CONDITIONS, &c. At the Census of 1911, the population of Acton was 57,497The preliminary figure was 57,523, but subsequently it was revised. It had been hoped that the final results of the Census would have been published ere this, and deductions from the report could have been made. Some of the figu...
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Cols—1 2 3 4 5 6 7 8 9 10 11 12 13 14 URBAN DISTRICTS Acton U.D.
38c7e35b-7088-4a6d-9b98-4b6d724cb76e
Places of Worship 20 Number Inhabited 6,086 9,445 7,587 1,161 540 38 46 40 33 - 2,447 Government and Municipal Buildings 4 Separate Occupicrs 8,326 12,965 9,652 2,471 677 38 48 40 34 5 2,471 Shops 98 Population 37,744 57,497 43,273 10,439 2,825 234 184 333 187 22 10,439 Offices 10 Uninhabited 454 490 438 2 35 1 9 1 4 -...
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South-West. 14.576 11.492 14.599 16,830 The population of the South-West Ward was obtained in greater detail from the Registrar-General, and the following table gives the particulars as to the population and sex distribution in each street:— Street. Population. South-West Ward. Males.
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Females Acton Lane 252 267 Albert Grove 17 18 All Saints' Road 83 98 Antrobus Road 181 193 Avenue Crescent 42 72 Avenue Gardens 68 106 Avenue Road 125 179 Beaumont Road 225 261 Bollo Bridge Road 538 661 Bollo Lane 290 334 Braemar Road 14 14 Bridgman Road 263 249 Brouncker Road 135 163 Church Path 192 220 Cleveland Road...
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17 Packington Road 178 199 Palmerston Road 164 175 Park Road East 104 134 Park Road North 331 398 Petersfield Road 347 340 Ramsay Road 160 162 Reynolds Road 26 36 Roslin Road 55 72 Rothschild Road 321 333 Shaftesbury Road 122 153 Strafford Road 204 230 Stanley Road 236 255 Steele Road 53 73 Stirling Road 278 306 Temple...
0ecc585e-5a24-4a72-9f30-190a1e637138
The great increase occurred between 1901 and 1905. Since 1905 the increase has been fairly constant, but the extent is not nearly as great as it was prior to that date. I estimate the population on June 30th, 1913, to be 60,000, and the rates in this Report are based on that estimate. This estimate is based on the numb...
1b6b100a-3454-44e0-92b4-4dcd6cb6a5f4
25.1 1,486 births were registered in the district, 778 males and 708 females. In addition, the Registrar-General transferred 36 births from other districts to Acton—19 males and 17 females. There were no outward transfers. The birth-rate of 1913 is the lowest on record for Acton, and is .4 per 1,000 lower than that of ...
f2b08b24-dc0f-400b-998a-e570cacd20a9
France has gone a step further, and appointed n Parliamentary Committee to inquire into the national, social, and fiscal aspects of its declining birth-rate. In France, matters are more serious than in this country; in 1912 there was an excess of deaths over births, and a shortage of 34,000 lives, equal to a good-sized...
17ceb37b-3c1c-4029-9ce2-600ea8cf69a3
Statistics showing the proportion of sterile to total marriages, and the extent of the declining birth-rates in foreign countries will be prepared. The alleged causes are to be investigated, and the effects of the decline are to be searched. The question will also be considered in its national and economic aspects. Alt...
db236792-fff7-4a77-90c4-b0d170baad59
An examination of the figures for Acton for the last seven years will show that whereas the birth-rate in the North-East, North-West, and South-East Wards has been falling rapidly, in the South-West Ward the rate remains fairly constant. The following table gives the birth-rate per 1,000 inhabitants since 1907, in each...
865d8744-d5ac-4214-85f8-2c7ef2d9b77a
1911 19.7 17.5 24.7 34.2 1910 21.9 19.9 26.3 32.3 1909 23.6 19.1 28.0 31.8 1908 26.9 19.5 31.2 33.1 1907 25.5 20.2 32.0 33.6 12 It is not self-evident that the fact of a declining birth-rate is an occasion for regret. If the birth-rate had declined uniformly over the whole district it is doubtful if it could be conside...
be4715b4-6344-4516-afae-70d4a7b43ce0
In many instances restricted child-bearing is compensated in improved mothering of a fewer offspring. Of the births that occur in the South-West Ward, in more than one-half of the cases, the mother is employed in occupation outside the home. On the other hand, the fact remains that the human race has now begun an exper...
0f1ba9d5-ccd3-4be8-abc5-4f86f4496281
Environmental advantages which thus accrue to the diminished number of the offspring outweigh the disadvantages of a slackening of the intensity of natural selection operating upon a larger number of children, some of whom must be weeded out. Again, are the effects upon the health and morals of a nation of the employme...
cb6af4a5-e6f9-4dd4-8386-b07319d85942
The illegitimate birth-rate, of course, is considerably affected by this arrangement; but, apart from this, the illegitimate birth-rate is higher than it has been for some years. Of the 36 births that occurred outside the district in 1913, 19 were born out of wedlock. Altogether the infants registered as having been bo...
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Rate per 1,000 births. 1913 56 37.9 1912 53 36 1911 43 29 1910 36 24 1909 29 19.2 1908 42 26.8 1907 37 24 It will be seen that since 1909, a steady and marked increase has occurred in the illegitimate birth-rate. 14 This increase is partly due to the fact that there are 3 or 4 houses in the district which are being use...
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334 231 359 562 DEATHS. Number 693. Crude. Corrected. Death-rate per 1,000 inhabitants 11.5 12.28 Death rate per 1,000 inhabitants in England and Wales - 13.7 Death-rate per 1,000 inhabitants in 96 large towns 14.3 508 deaths were registered in the district, of these 12 belonged to other districts, and are not included...
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In former Reports it has been explained that the Registrar-General published a table of factors for all the large towns, and that the "factor for correction "for Acton is 1.04640. If the crude death-rate of 11.5 be multiplied by this factor for correction, the result obtained—12.28 —is the " corrected death-rate " for ...
d5965d5e-06d6-4d91-beed-f47cf43e605f
The diseases which caused the most marked increase in the number of deaths were Measles, Phthisis or Pulmonary Tuberc ulosis, Organic Heart Disease, and Diarrhoea. The ages at death last year were as follows:— Under 1 year. 1-2. 2-5. 5-15. 15-25. 25-45. 45-65. Over 65. 127 56 33 26 26 99 156 170 Compared with 1912 ther...
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It is difficult to calculate exactly the number of persons living at each age period An examination of the Census figures shows that the increase in the population took place fairly uniformly in all the age periods, and it is natural to assume that the age-distribution of the increased population since the Census remai...
15aff42a-fdb8-4a08-8d17-a43f85f3f9ca
A more accurate method to estimate the number living at midsummer in any year, is to take the number of births in the first half of the year under review and the second half of the preceding year, and subtract the deaths under 1 year which have occurred in the same two half-years. If either of these two methods had bee...
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We estimate the numbers at the age-periods under 1 year and between 1-2 years by this method, and assume that the increase in the other age-periods has been in the same ratio as in the last intercensal period, the death-rate per 1,000 living at each period last year was as follows:— Under 1 year. 1-2. 2-5. 5-15. 15-25....
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A district with an abnormal proportion of its inhabitants living between the ages 5-45 would, therefore, have a lower death-rate than another district which contained a higher proportion of children and old people. The following table gives the number of deaths at the different age-groups since 1905:— Under 1. 1-5. 5-1...
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1905 172 73 18 24 200 141 1906 201 91 26 19 194 156 1907 200 94 38 28 217 160 1908 188 106 29 23 209 168 1909 ,58 102 40 30 208 170 1910 151 55 18 20 203 176 1911 205 116 34 28 224 170 1912 107 72 3i 30 216 177 1913 127 89 26 26 245 170 17 With the exception of the two age-periods under 1 year and between 1-5 years, th...
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2-5. 5-15 15-25. 25-45. 45-65- Over 65. 1,283 1,211 3,929 10,930 10,286 19,010 8,624 2,325 These figures do not extend back for a sufficient period to institute any comparison, and, moreover they are not sufficiently comprehensive for the purpose, but they point to the same result as has been arrived at by an analysis ...
9eff2e42-5acb-4c16-a757-5ba884f3a859
In view of the immense improvement in this country in the death-rate during youth and early adult life, and of the more favourable death-rate experienced in some parts of adult life in other countries, there can be no reasonable doubt that much mortality occurring in adult life, which anticipates death in old age, is p...
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The causes of death and Ward distribution of the different diseases are given on Tables 3 and 5 at the end of the Report. 18 The addresses outside the district where residents died together with the number of deaths were as follows:— Union Infirmary 109 West London Hospital 21 Middlesex County Asylum 16 Middlesex Hospi...
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George's Hospital 1 Charing Cross Hospital 1 Belgrave Street, Brighton 1 Berkshire Asylum 1 Llandudno 1 Chelsea Hospital for Women 1 Brecon 1 Bethlem Hospital, Southwark 1 Central Station, Liverpool 1 Queen Mary's Hospital, Carshalton 1 Westminster Hospital 1 Ha Ha Brook, Richmond 1 Cambridge Terrace, Sidmouth 1 Homoep...
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The so-called Zymotic death-rate includes deaths from seven the principal Zymotic diseases: Small-pox, Measles, Whooping>ugh, Scarlet Fever, Diphtheria, Diarrhoea and Enteric Fever. Most of these diseases are separately dealt with. NOTIFICATION OF INFECTIOUS DISEASE. The following notifications of infectious disease we...
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Scarlet Fever 24 10 19 27 80 Diphtheria 34 18 20 45 117 Enteric Fever 2 1 1 — 4 Erysipelas 9 4 12 8 33 Puerperal Fever 3 1 1 — 5 Pulmonary Tuberculosis 38 21 26 74 159 Other forms of Tuberculosis 11 3 12 16 42 Poliomyelitis 1 1 1 3 6 122 59 92 173 446 Before we make a comparison of infectious disease in the district la...
967fb1d8-d8d0-4bca-b60b-d6b6567bb409
Taking the county as a whole, Scarlet Fever was much more prevalent in 1913 than in either of the two previous years, the attack rate being equal to 3.57 per 1,000 of the population, compared with 2.98 and 2.90 in 1912 and 1911 respectively. The increase was much more noticeable in the urban districts than in the rural...
cf4d63a5-aba4-4d9d-b39f-14d9cec885f6
So that the comparison for the whole county should hold good, I have included the figures in the comparative columns for the county as given in the Local Government return, but in the table giving the figures for former years, the figures for 1913 are the correct ones for the year. Diphtheria was not appreciably more p...
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In Acton the attack rate was .07 per 1,000 inhabitants. The following table gives the attack-rates per 1,000 inhabitants in the County:— Boroughs and Urban Districts. Scarlet Fever. Diphtheria. Enteric Fever. Puerperal Fever. Erysipelas. Acton 1.28 1.88 .07 .07 .6 Brentford 2.46 1.92 — — .84 Chiswick 1.35 1.20 .05 .03 ...
9ed6ff1c-daf5-4f64-a98a-59c65d0e7cec
52 Greenford 20.07 1.82 — — 1.82 Hampton 3.25 .21 — .10 .31 21 Hampton Wick 1.25 1.67 — — — Hanwell 3.11 1.28 .05 .05 1.04 Harrow 5.01 .67 .06 — .28 Hayes 3.35 .67 — — .89 Hendon 2.2 4 1.44 .27 .02 .46 Heston & Isleworth 2.40 1.18 .07 .13 .53 Hornsey 2.46 1.36 .13 .02 .31 Kingsbury — — — — — Ruislip 2.89 2.59 .15 — — N...
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43 .43 Teddington 1.63 .44 .05 .l6 .54 Tottenham 4.21 1.92 .08 .04 .58 Twickenham 3.84 1.77 — .13 .23 Uxbridge 1.51 2.83 — — .57 Wealdstone 4.17 1.81 .16 .08 .55 Wembley 2.26 2.61 .35 —.
ca5ddda3-5ac4-4087-ab48-d25b36e86495
.26 Willesden 3.24 1.49 .11 .07 .60 Wood Green 3.68 1.38 .02 .06 .66 Yiewsley 4.93 .67 — — .90 Rural Districts— Hendon 4.10 2.95 .07 — .07 South Minims .35 .35 — — .71 Staines 2.76 .45 .04 .04 .8 Uxbridge .74 1.06 — — .21 A return was submitted giving the number of cases of Scarlet Fever, Diphtheria, and Enteric Fever ...
3fa06aa3-bf1b-4200-95cf-1e733fd53d22
12 1891 63 4 2.6 .l6 1892 74 0 3.0 — 1893 192 10 7.3 .39 1894 86 3 3.1 .11 1895 67 3 2.4 .1 1896 193 1 6.5 .034 1897 93 0 3.0 — 1898 167 3 5.0 .09 1899 111 2 3.2 .06 1900 243 6 6.7 .16 1901 82 2 2.1 .05 1902 109 1 2.6 .025 1903 76 2 1.7 .05 1904 129 1 2.7 .02 1905 137 2 2.7 .04 1906 170 7 3.2 .
79a2e92c-e9e9-4d59-81bb-e59606b08a14
13 1907 267 6 5.0 .11 1908 484 15 8.8 .272 1909 469 16 8.3 .28 1910 109 2 1.9 .035 1911 234 6 4.0 .1 1912 315 5 5.3 .085 1913 80 2 1.33 .033 Prior to 1905, the deaths and the death-rate may not be strictly accurate. Some of the cases were isolated in outside hospitals, but if any death occurred, it was not included in ...
015938a0-b33e-439b-a1f1-4dd5aaa255a5
3 .08 1892 27 4 1.0 .16 1893 41 2 1.6 .077 1894 22 5 .8 .18 1895 32 5 1.1 .17 1896 21 8 .7 .27 1897 89 28 2.8 .9 1898 35 8 1.07 .24 1899 49 7 1.4 .21 1900 28 4 .7 .11 1901 34 6 .8 .15 1902 33 4 .8 .1 1903 22 2 .5 .05 1904 32 2 .7 .04 1905 49 4 .98 .08 1906 46 2 .88 .03 1907 63 5 1.2 .09 1908 83 7 1.5 .
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127 1909 104 22 1.8 .39 1910 118 9 2.0 .158 1911 115 9 2.0 .15 1912 100 8 1.7 .133 1913 117 8 1.9 .131 The increase in Diphtheria is more apparent than real. Formerly, only clinical cases of Diphtheria were notified. Now, owing to the extension of bacteriological facilities many cases which exhibit only symptoms of sor...
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Rale per 1,000 inhabitants. Cases. Deaths. Cases. Deaths. 1890 13 1 .55 .04 1891 13 0 .5 — 1892 15 3 .6 .12 1893 19 4 .7 .15 1894 15 2 .55 .07 1895 28 2 1.0 .07 1896 14 2 .5 .07 1897 10 2 .33 .06 1898 9 0 .28 — 1899 46 7 1.3 .2 1900 29 4 .8 .11 1901 27 1 .7 .025 1902 14 4 .3 .1 1903 40 5 .9 .
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11 1904 8 3 .17 .06 1905 12 6 .24 .12 1906 12 3 .23 .05 1907 13 3 .24 .05 1908 14 2 .25 .036 1909 4 1 .07 .018 1910 16 2 .28 .035 1911 17 4 .29 .067 1912 9 1 .15 .017 1913 4 0 .065 — It will be interesting to give the statistics since 1881, though, of course, the notifications cannot be included, as the Notification of...
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1881 6 .35 11 .62 2 .11 1882 5 .27 4 .21 6 .32 1883 6 .31 2 .1 4 .21 25 1884 2 1 8 .4 5 .25 1885 0 — 3 .14 3 .14 1886 0 — 5 .24 6 .28 1887 10 .46 5 .23 4 .18 1888 2 .091 2 .091 0 — 1889 1 .043 8 .35 1 .043 These figures are capable of almost any kind of grouping, and their analysis would serve very little purpose unles...
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Taking the death-rate from Scarlet Fever as being the simplest and freest of complications, it will be seen that if the 21 years, 18811901, be divided into 3-year periods, and the 12 years, 1902-1913, into 4-year periods, the periods of maximum and minimum prevalence exactly alternate, and in the one group of periods t...
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1881-1883 .31 1884-1886 .033 1887-1889 .201 1890-1892 .093 1893-1895 .2 1896-1898 .041 1899-1901 .09 1902-1905 .023 1906-1909 .198 1910-1913 .063 The case rate works out in a slightly different manner, and between 1890 and 1891 there seemed to be a period of minimum prevalence of two years alternatively with a period o...
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We are now in the period of minimum prevalence, and it will probably continue during 1914 in the absence of any unforeseen circumstances. 26 Diphtheria here has behaved in a very similar manner as it has done throughout the kingdom. The periods of maximum and minimum prevalence are longer than those of Scarlet Fever. I...
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Case Rate per 10,000 Inhabitants. 27 DIPHTHERIA. 117 casus of Diphtheria were notified, and 8 deaths occurred from the disease. 3 other notifications were received, but subsequently withdrawn; 4 cases were wrongly diagnosed, but the notification was not withdrawn. Although the number of notifications was higher by 17 t...
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higher than in the earlier period, but the death-rate in the earlier period is 50 per cent. higher. The actual figures are: 1890-1903, average annual case rate, 1 per 1,000; death-rate, .21 per 1,000. In 1904-1913, the figures are: Case-rate, 1.46 per 1,000; death-rate, .13. The death-rate in the earlier period is unde...
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There is a widespread impression that the disease is now milder in character, though the figures which are adduced in favour of this are hopelessly inaccurate, and there is no definite proof of the relative mildness of the disease. To offer explanation of a cause which is not proved to be existent is unprofitable, if n...
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It is possible that the lower fatality and decreased mortality are due, not to the mildness of the type, but to the improvement in the methods of treatment and diagnosis. The discovery of Antitoxin and the appreciation of the importance of its early use have revolutionised the treatment of the disease. The treatment, u...
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In the majority of these, the clinical signs in the throat would not have enabled anyone to diagnose Diphtheria, and in many of the other cases notified during the year, the diagnosis was made only after a bacteriological examination. The facilities for the bacteriological examination of the throat are being more and m...
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There were 5 notifications from 1 house, 3 from another house, and 2 each from 9 houses. SCARLET FEVER. 80 cases of Scarlet Fever were notified; of these 4 were wrongly diagnosed, and were not suffering from the disease. 4 others were also notified, but the notifications were withdrawn by the doctor in attendance on th...
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4 cases occurred in houses after the discharge of a child living in the same house from the Fever Hospital, but in all of them doubt exists whether the discharged patient was the infecting agent. The first case was that of P. S. The case was notified on April 7th. The child was taken ill early on on April 6th; when the...
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If they came in contact with each other, it could only have been a casual meeting in the passage somewhere during the afternoon of April 5th; no evidence of such a meeting could be obtained. If V. B. was the infecting agent the incubation period could only be from 12 to 16 hours. 2 other children from the same house ha...
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The second "return" case was that of M. D., who was notified of Scarlet Fever on March 21st, 1913. R. D., a twin brother, was notified of Scarlet Fever on December 10th, 1912, and discharged from the Hospital on January 29th, 1913. R. D. had no complication of any kind whilst in the Hospital, and was not in contact wit...
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A. W., his brother, was admitted to the. Hospital on June 18th, and discharged on September 4th. If we trace the Scarlet Fever history of this family we shall find the probable infecting agent of both " return " cases. 31 In July, 1912, L. W., a sister of W. W. and A. W., was notified of Scarlet Fever. She was admitted...
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On the latter date L. W. was taken to Hospital to be operated on for the removal of Tonsils and Adenoids, and subsequent to the operation no further cases occurred in the immediate neighbourhood. It is now held by many authorities that under certain conditions Scarlet Fever may remain intermittently infectious for prol...
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H. S. worked in Hammersmith, and within a month 3 cases of Scarlet Fever had occurred amongst the employees of the firm. In the room he worked was employed another person who was discharged from a Fever Hospital in December. He had been in the Hospital for 3 months on account of Nephritis following Scarlet Fever. ENTER...
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In the other 2 cases the source of infection was not traced. ACL'TE ANTERIOR POLIOMYELITIS. During the year 6 cases of Acute Anterior Poliomyelitis have been notified, and a history of these cases is given in the following pages. In 3 of these there was no paralysis at the time they were visited, and all the children w...
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In the second the child was only 4 months old, and the suspected weakness only lasted a short time. In the third the only symptoms were diarrhoea and vomiting. Moreover, no precautions were taken to prevent these children mixing with the other patients in the wards or in the out-patients' department. In the other cases...
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On the following day the mother noticed that the right hip was tender and painful. There was no weakness prior to the accident, and there was no evidence to show that the fall was the result and not the cause of the illness. An uncle had been paralysed for 41 years. Progress. The child was taken 10 a local doctor, who ...
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The child complained of no pain, but the mother noticed, about the middle of July, that one day the child could not lift her right arm when she awoke from her sleep. Child was taken to a local doctor, who advised the mother to take the child to St. Mary's Hospital, where Acute Anterior Poliomyelitis was diagnosed. Ther...
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She was attended by a local doctor, and on August 2nd was admitted into the Great Ormond Street Hospital for Children. The child was an in-patient at Great Ormond Street from August 2nd to August 9th. She had always been in good health until the middle of July. A sister of the patient's father is suffering from paralys...