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Croup Fever— Typhus Enteric 6 4 4 2 4 Other continued Epidemic Influenza 7 1 4 2 5 2 Cholera Plague Diarrhœa 40 32 7 1 6 10 21 Enteritis 17 11 2 2 2 5 7 5 Puerperal Fever 2 2 2 Erysipelas 2 2 Other Septic Diseases 2 2 Phthisis (Pulmonary Tuberculosis) 43 3 1 6 31 2 8 16 11 Other Tubercular Diseases 31 8 13 5 2 2 1 3 12...
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Malignant Disease 35 27 8 11 9 7 2 Bronchitis 45 13 7 11 14 5 15 23 Pneumonia 68 21 19 1 2 15 10 11 24 27 2 Pleurisy .
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Other Diseases of Respiratory Organs 7 1 1 2 3 2 3 Alcoholism—Cirrhosis of Liver 11 10 1 3 4 3 Venereal Diseases 1 1 1 Premature Birth 24 24 4 9 11 Diseases and Accidents of Parturition 4 4 2 2 Heart Diseases 48 2 3 4 20 19 14 10 16 1 Accidents 16 3 4 2 4 3 1 3 7 4 Suicides 8 8 4 1 3 All other Causes 191 47 9 5 5 54 71...
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28 CAUSE OF DEATH. Under 1 week 1-2 weeks. 2-3 weeks. 3-4 weeks. Total under 1 month. 1-2 months. 2-3 months. 3-4 months. 4-5 months. 5-6 months. 6-7 months. 7-8 months. 8-9 months. 9-10 months. 10-11 months. 11-12 months. Total Deaths under One Year. Table 5. INFANTILE MORTALITY DURING THE YEAR 1905. Deaths from state...
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Small-pox Chicken-pox Measles Scarlet Fever 1 1 Diphtheria: Croup Whooping Cough 1 1 1 1 2 6 Diarrhœal Diseases. Diarrhœa, all forms 8 2 2 5 4 2 2 1 3 1 2 32 Enteritis (not Tuberculous) 1 2 3 Gastritis, Gastrointestinal Catarrh 1 1 3 1 1 1 1 8 Wasting Diseases. Premature Birth 17 1 1 2 21 2 1 24 Congenital Defects 4 4 ...
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Tuberculous Meningitis 1 Tuberculous Peritonitis: Tabes Mesenterica 1 1 1 1 1 5 Other Tuberculous Diseases 1 1 Erysipelas Syphilis Rickets 1 1 1 Meningitis (not Tuberculous) 1 2 1 1 5 Convulsions 4 3 1 8 1 1 1 1 1 13 Bronchitis 1 1 2 3 2 1 3 1 13 Laryngitis 1 1 Pneumonia 4 3 4 1 1 3 1 21 Suffocation,
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overlaying 1 1 2 Other Causes 1 1 1 2 1 1 3 9 32 6 2 7 47 22 14 10 18 11 12 6 7 11 6 8 172 29 FACTORIES, WORKSHOPS, LAUNDRIES, WORKPLACES AND HOMEWORK. INSPECTIONS. Including Inspections made by Sanitary Inspectors or Inspectors of Nuisances. Premises. Number of Inspections. Written Notices. Factories (Including Factor...
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Nuisances under the Public Health Acts:— Want of cleanliness 3 3 Want of ventilation 3 3 Overcrowding 1 1 Want of drainage of floors Other nuisances 25 25 Sanitary accommodation insufficient unsuitable or defective not separate for sexes 0ffences under the Factory and Workshop Act:— Allowing wearing apparel to be made ...
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107):— Lists received 164 348 Addresses of Outworkers forwarded to other Authorities 19 received from other Authorities 33 Workshops on the Register (s. 131) at the end of the year 375 Your obedient servant, D. J. THOMAS. March 31st, 1906. 32 SUMMARY OF VISITS PAID AND INQUIRIES MADE BY HEALTH VISITOR.
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Number of Visits re School Cards 762 „ „ Health Visits 306 „ „ Visits re Birth enquiries 347 „ „ „ Death enquiries 64 „ „ „ Scarlet Fever 189 „ „ „ Diphtheria 36 „ „ „ Enteric Fever 26 „ „ „ Chicken Pox 112 „ „ „ Phthisis 74 „ „ „ Erysipelas 25 „ „ „ Measles 13 „ „ „ Puerperal Fever 2 „ „ Workshops Inspected 117 „ „ Ou...
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SIR,—I herewith present my sixth annual statement, showing the particulars of the action taken in the suppression of nuisances, &c., and various improvements effected by this department during the year 1905. NOTICES. Nine hundred and ninety-eight Preliminary Notices and 657 Statutory Notices have been served for the ab...
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The various butchers' shops, greengrocers' shops, and other places where food is sold or prepared, were frequently inspected during the year, and in very few cases did I find any unsound food, or was it necessary for me to call the occupiers' attention to any insanitary conditions or want of cleanliness. On several occ...
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This procedure I have adopted, and have not recommended any proceedings where the butcher has surrendered the part, and if satisfied that the butcher was unaware of the disease and that none of the glands had been cut into. Unfortunately, some butchers and slaughterers make it a practice to cut out the pharyngeal gland...
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This would mean a tremendous seizure of carcasses, without any compensation, and butchers would seek to remove the slightest evidences of the disease to avoid seizure, and the public would not be so well protected as under the present arrangement of seizing the affected part or parts. During the year, the following wer...
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31 samples of butter. 5 samples of margarine. In four cases where milk was adulterated to a small extent, the Council did not take proceedings, but the Clerk wrote, warning the vendors that in future proceedings would be taken, and advising them to ascertain that the milk was up to standard before offering it for sale....
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20th Milk deficient of fat 12% £1 and 22/- costs. Sept. 20th Milk deficient of fat 12% £1 and 22/- costs. Sept. 20th Adulteration of Butter, 27% of water 10/- and 20/- costs. 36 DAIRIES, COWSHEDS AND MILK SHOPS. There are at present 3 Cowsheds, 23 Dairies, 20 Milkshops, on the Register. I forwarded a notice to the occu...
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Notice was given in the local papers to all cowkeepers, dairymen and purveyors of milk, on the 24th November and 1st December, also on the 23rd November hand-bills were distributed throughout the District calling attention to the duty of such persons to be registered with the Council. BAKEHOUSES. The number of bakehous...
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Arthur Phillips 50, Hanbury Road 1863 James William Laws l10, Bollo Bridge Road 1865 Edward Dalton 7, Churchfield Road 1867 George Morris 8, Enfield Road 1871 37 Seventy-eight visits were paid to these premises. At three of the slaughter houses there was nothing to complain of at any time, but I cannot say this about t...
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I should like to take this opportunity of pointing out to the Committee the difficulties which prevent a proper control and a systematic inspection of the carcasses in our four registered slaughter houses. 1st.—As no particular hours are prescribed in the Bye-laws specifying the time when slaughtering may be carried on...
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:— " For prohibiting slaughtering in slaughter houses except between the hours of (say) 6 a.m. and 6 p.m." 38 In my opinion, these hours would be quite reasonable, and would allow ample time for the amount of slaughtering which is carried on in the district. I have made enquiries into the matter and have ascertained th...
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If such a Bye-law were granted, the Committee will see that it would be possible for me to carry out a proper inspection; and on Sundays the Assistant Inspectors could take their turns at inspecting the slaughter-houses, and if any carcase or organs were found to be diseased, they could be put on one side, I could be i...
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I have not received any complaints as to the smell from same. We only have three pig-keepers in the district, viz.:— Mr. Morris, Old Oak Lane. Mr. Bosher, Old Oak Lane. Mr. Baggs, Old Oak Lane. 39 Our present Bye-laws provide that no pigs shall be kept within 200-ft. of a dwelling-house, but nothing is mentioned as to ...
67df4fef-b41c-4ad2-89b3-ce20d3e97061
Arthur Phillips 50, Hanbury Road 1863 James William Laws 110, Bollo Bridge Road 1865 These premises have been frequently visited during the year. As you are aware, the buildings are very unsuitable for this kind of business, and steps are being taken to compel the occupiers to carry out certain works. COMMON LODGING HO...
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All factory and works chimneys have been observed at frequent intervals, and several cautionary Notices served upon the owners for emitting black smoke in such quantities as to be a nuisance No Police-court proceedings, however, have been necessary. Many joint observations have been kept with the Inspector to the Coal ...
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15th Defective wash-house floor Withdrawn on defendant paying 21/- costs „ 15th Sink waste pipe connected directly to drain. Defective w.c. 40/- and costs and order to abate within 14 days „ 15th Rain water pipe connected directly to soil pipe Order to abate and 21/costs „ 15th Slaughtering on unlicensed premises 20/- ...
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41 NUMBER OF INSPECTIONS. &c. Complaints received 225 Premises inspected 1,587 Premises re-inspected 2,908 House to house inspection 557 Nuisances reported 3,091 Nuisances abated 2,
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477 Workshops inspected 124 Houses let in lodgings inspected 136 Furnished rooms inspected 97 Two Common Lodging Houses inspected 23 times Three Cowsheds inspected 36 „ Forty-three Dairies and Milk Shops inspected 132 „ Twenty-six Bakehouses inspected 190 „ Four Slaughter Houses inspected 78 „ Three Piggeries inspected...
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Inspector of Factories 8 Notices to Water Company re Waste of Water 37 The following Tabulated List gives particulars of the sanitary improvements effected during the year:— House Drains taken up and reconstructed 97 „ repaired 72 „ unstopped and cleansed 89 „ provided with intercepting Traps 95 „ Manholes provided to ...
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foul and dilapidated 23 Soil Pipes repaired 20 „ ventilated 16 „ increased ventilation provided to 21 „ reconstructed 15 Want of Stoppers to Interceptors 25 Ventilating Shafts repaired 16 „ provided 16 Wast Pipes, Sink, disconnected from Drain 32 „ repaired 36 „ stopped 14 „ Bath and Lavatory, disconnected from Drain 1...
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foul and defective, remedied 11 43 Cisterns repaired and covered 73 „ cleansed 24 „ removed from improper position 7 Houses cleansed and whitewashed 278 11 Plastering of Walls and Ceilings repaired 58 „ dealt with under Housing Acts Workshops cleansed and limewashed 19 „ Roofs repaired .
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2 „ Ventilation improved 4 Roofs of Houses repaired 33 Floors of Houses repaired or relaid 69 „ Workshops repaired or relaid 23 „ Stables repaired or relaid 7 Stables provided with drainage 8 „ „ ventilation 6 Coach-House Floors repaired 5 „ Ceilings „ 2 Dampness of House Walls remedied 65 Air Spaces under Floors of Ho...
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Public Health Department, Gothic Villa, Mill Hill Grove, Acton, W. CONTENTS. MEDICAL OFFICER OF HEALTH'S REPORT. pages. Age Incidence 13 Births 7 Cases of Infectious Disease notified during the year 1905 26 Causes of, and Ages at, Death during the year 1905 27 Deaths 8 Diphtheria and Membranous Croup 12 Diarrhoeal Dise...
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Workshops, Laundries, Workplaces and Homework 29 General Remarks 3 Hospital Isolation 13 Infantile Mortality 20 Inquests 22 Isolation Hospital 22 Infantile Mortality during the year 1905 28 Measles 17 Other Matters 31 Public Health and Isolation Hospital Committee 2 Population 4 Scarlet Fever 12 Scarlet Fever 23 Summar...
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Bakehouses 36 Common Lodging Houses 39 Drainage Examinations 33 Dairies, Cowsheds and Milk Shops 30 Food and Drugs Acts 35 Houses Let in Lodgings 39 Inspection of Meat and other Foods 33 Notices 35 Number of Inspections, &c. 41 Offensive Trades 39 Prosecutions 35 Piggeries 38 Slaughter Houses 36 Smoke Abatement 40 Sani...
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Act 14 Urban District of Acton. Annual Report OF THE Medical Officer of Health FOR 1906, Urban District of Acton. Annual Report OF THE Medical Officer of Health FOR 1906. Public Health and Isolation Hospital Committee. Mr. Councillor E. F. HUNT (Chairman). F. A. BALDWIN. J.P. E. MONSON, J.P. J. W. JARRATT, J.P. „ D. P....
9e4e9e92-e2ae-4bbb-a31a-4d8253cf20b6
2 by the order of the Local Government Board, dated March 23rd, 1891, article 18. jjsction 14, it is prescribed that the Medical Officer of Health shall make an Annual Report to the Sanitary Authority, up to the end of December in each year, comprising a summary of the action taken, or which he has advised the Sanitary...
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The report shall also contain an account of the inquiries which he has made as to conditions injurious to health existing in the district, and of the proceedings in which he has taken part or advised under any Statute, so far as such proceedings relate to those conditions; and also an account of the supervision exercis...
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In a memorandum issued by the Local Government Board in November, 1906. it is recommended that the report shall deal with the extent, distribution and causes of disease within the district; and should give an account of any noteworthy outbreak of epidemic diseases during the year under review, stating the result of inv...
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ANNUAL REPORT OF THE Medical Officer of Health FOR THE URBAN DISTRICT OF ACTON, For the Year 1906. 130 Churchfield Road, March, 1907. To the Chairman and Members of the Acton Urban District Council. Gentlemen, I have the honour to submit to the Council a report on the Sanitary conditions of the district, together with ...
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In regard to the sanitary work which has been effected, there is probably little of a startling nature to chronicle. The work has been of a routine kind, and, I believe, of a substantial character. A large amount of progress may be recorded in many directions. 4 The principal features of the vital statistics for the ye...
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The district, with an area of 2,304 acres, is about 3 miles in length, and about 1½ miles wide. It is irregularly quadrangular in shape. It is bounded on the north by Willesden, on the east by Hammersmith, on the south by Chiswick, and on the west by Ealing. For Poor-law purposes, the parish forms part of the Brentford...
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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 w...
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At the Census of 1901, there were 6,086 inhabited houses in the district, besides 454 uninhabited houses. Between March 31st, 1901, and June 30th, 1906, 2,165 dwellinghouses have been erected and occupied, and 65 public buildings, such as schools, offices, churches, etc. On June 30th, 1906, there would be in the distri...
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With the assistance of the Surveyor and Accountant, an attempt has been made to estimate the population of each ward, and I believe the following table is fairly correct:— North-East Ward 13,000 North-West Ward 11,000 South-East Ward 11,000 South-West Ward 17,000 BIRTHS. The number of births registered during the year ...
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The infants registered as having been born out of wedlock numbered 39, which figure corresponds to a rate of 25 per 1,000 births, or .7 per 1,000 living. This is lower than the illegitimate birth-rate 6 in England and Wales, but in rural districts illegitimacy is always more prevalent. The figure 29.5 does not represen...
1e771ce6-8c35-4e77-b960-597a24ffade9
Although the remedy is beyond the control of Sanitary Authorities, it is important that we should ascertain whether the population is being chiefly recruited from the fit or from the unfit Preventive medicine must enlarge its scope if it is to continue to reduce the general death-rate, and if, more particularly, it is ...
5bba7b3c-e398-4ffa-ade0-e6af1298d8e6
It is unnecessary to produce statistics in order to ascertain the relative position of the wards socially. A glance at the number of deaths from the various diseases in each ward will at once convince any observer as to who are best and least fitted for the struggle of life. Consumption or Phthisis is a disease which e...
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Whether it be so or not depends on the character of the population, and if the diminished birth-rate were operating in the proper quarter it would possibly be a sign to welcome and not to regret. The births have been allocated amongst the wards this year for the first time, and the following table gives the number, and...
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Rate per 1,000 in 142 smaller towns 14.4 The total number of deaths registered in the district was 597, but certain corrections have to be made in order to obtain the exact number of deaths belonging to the district. On Table I. instructions are given concerning the corrections which should be made before arriving at t...
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The second correction which has to be made is the addition to the total of the deaths of "residents," registered in public institutions beyond the district. 8 By the term "residents" is meant persons who have been taken out of the district on account of sickness or infirmity and died in public institutions elsewhere. T...
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Mark's Hospital 1 Homeopathic Hospital 1 Hampstead General Hospital 1 Children's Hospital, Paddington 1 Mount Vernon Hospital 1 Grove Hospital, Tooting 1 Charing Cross Hospital 1 Queen Charlotte's Hospital 1 University College Hospital 1 Cancer Hospital, Chelsea 1 Cancer Hospital Fulham 1 St. Thomas's Hospital 1 London...
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This correction is dependent upon the sex distribution and the age constitution of a district. Females live longer than males, and though there is a preponderance of females over males in Acton, the death of males exceeded those of females by 11. Three hundred and forty-nine males and 338 female deaths occurred last ye...
9cd97ff1-ad82-4253-9311-05bc4d7d6919
201 91 26 19 194 156 In order to neutralise the errors in death-rate arising from sex and age-constitution, the Registrar-General has devised a method by which they can be corrected. This method is based upon the deathrate of each sex at different ages throughout England and Wales, and by this means series of factors a...
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10 Ward Distributions. The deaths were distributed as follows:— North-East North-West. South-East. South-West. 137 135 122 293 Based upon the estimated population given on a preceding page, the death-rate of each ward per 1,000 inhabitants would be North-East. North-West. South-East. South-West. 10.5 per 1,000. 12.3 pe...
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When one reflects on the various causes productive of ill-health, and of that more intense form which ends in death, the influence of poverty, and more particularly of unsettled poverty, loom larger and larger. The death-rates of those inhabitants who end their lives in the Union Infirmary may be taken as one of the in...
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The so-called Zymotic death-rate includes deaths from the seven Zymotic diseases, namely Small-pox, Measles, Whooping Cough, Scarlet Fever. Diphtheria. "Fever," and Diarrhoea. With the exception of Small-pox, these diseases are dealt with in separate paragraphs. 11 SCARLET FEVER. One hundred and seventy cases of Scarle...
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Though discharged from the hospital free from infection, she was suffering from nephritis, to which complication of Scarlet Fever she succumbed on November 3rd. There is an increase in the number of cases and in the number of deaths. The largest increase of notifications occurred in the NorthEast Ward. The Ward distrib...
3ce7a1de-d62f-4416-8952-671365295ec5
Marylebone, Higher Grade 1 Oaklands Road, Hanwell 1 Private Schools 8 A certain amount of doubt exists as to the role which school attendance plays in the spread of Scarlet Fever, and until we know more of the etiology of the disease, it is unwise to venture upon any very definite opinion. Hitherto, two modes have been...
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Scarlet Fever is infectious from the commencement of the symptoms, and the condition of the skin is no criterion of the infectiousness of the patient. It is possible, of course, that the disease is spread in some indirect manner, but the more closely the inquiries are made, the less numerous do the indirectly infected ...
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Between June 2 and July 11, 17 cases of Scarlet Fever occurred amongst children attending the Central Schools. It was obvious from the distribution of the disease that the school had something to do 13 with the spread, but it was not until July 2nd that a "missed" case was found. He had attended school throughout his i...
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Altogether 34 secondary cases were notified, but with 5 exceptions the first and subsequent cases in the house were notified together; in 3 instances, the patients were nursed at home, and in 2. the first case had been removed to Hospital. In one of the latter it is doubtful though, whether the second case was infected...
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Two sisters had been staying at Hawley, and returned on September 9th; one of them developed symptoms on September 12th. and the other on October 1st. 1 was on my holidays when the first child was discharged from the Hospital, and could not make an examination of the child until September 18th. On my return, I examined...
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14 The third case occurred in Kingswood Road. The "infecting" case was discharged from the Hospital on November 7th. On November 14th, a sister was taken ill, and notified of Scarlet Fever on November 19th. The "infecting" case had been in the Hospital for over 6 weeks, and had not suffered from any complication. I exa...
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On November 13th her sister at home was taken ill, and removed to the Hospital on November 18th. If the first child had been discharged on November 12th (which originally, had been our intention), the second one would have been considered a return case. It is possible, in the last case, that some article which had been...
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Very rarely is isolation practised at the commencement of the illness, and we have no means of ascertaining if all the infected articles have been disinfected. Moreover, the patient should have recovered perfectly before he is cleansed and discharged from seclusion, but we have no means of ascertaining whether the pati...
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To what extent the introduction of Antitoxin into general use has modified the type of disease it is difficult to venture an opinion, but as far as Acton is concerned, nothing has been more significant than the diminished mortality witnessed within the last 10 years. Since 1897, the decline has been almost continuous, ...
1af20cbd-c453-4535-9876-164da795b27f
Thirty-five cases of Erysipelas were notified, and 1 death resulted from the disease. The retention of Erysipelas amongst the notifiable diseases is a demonstration of the necessity of fresh public health legislation. The views held as to its causation have undergone a vast change since the 16 Infectious Diseases Notif...
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Twenty-six deaths were caused by other tubercular diseases—Tubercular Meningitis 14, General Tuberculous 4, Tubercular-Peritonitis 3, Tubercular Enteritis 2, Tabes Mesenterica 2, and Tubular Kidney 1. Of the total deaths from Tubercular Diseases, 38 were of males and 36 of females. Forty-nine deaths were in persons ove...
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The increase is due to Tuberculosis of the abdomen, caused possibly by the ingestion of infected milk. Thirty per cent. of all the cows giving milk in this country are tuberculous, but probably such milk is not dangerous until the udder is affected. About 2 per cent. of the cows have tuberculous udders. Our inquiries w...
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Labourer 5 Laundryman 3 Clerk 2 Mechanical Engineer 2 Plasterer 2 Painter 2 Engine Driver 1 Lift Attendant 1 Dairyman 1 Sword Patentee 1 Railway Guard 1 Carman 1 Messenger 1 No Occupation 1 Females Household 11 Laundress 4 Teacher 2 Nurse 2 Domestic Service 1 No Occupation 4 Out of the 48 deaths from Phthisis, 19 occur...
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Early cases, where any traces of the Bacilli occur in the sputum, are dangerous, but the danger from them is trifling compared to that from the advanced and fatal cases. The last 4 or 5 weeks are the most deadly in the spread of the infection. It is a difficult matter in Phthisis to ascertain the source of infection al...
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In the majority of cases, the sputum must be regarded as the main source of infection, and the germs must have reached the lungs by inhalation. It is difficult not to infect the rest of the family when a case occurs amongst the poor. The whole family have to live in two or three ill-ventilated rooms, and the patient is...
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Such events awaken in the minds of those who do not know the infectiousness of tuberculosis the opinion that it is hereditary, whereas its transmission in the cases in question was due solely to the simplest processes of infection, which do not strike people so much, because the consequences do not appear at once, but ...
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It is on this assumption that disinfection is carried out after the death of the patient, though in a large majority of the cases the damage has already been done. Disinfection was urged in all cases where death has occurred, but only in 17 instances was the offer accepted. It is pointed out on another page that the mo...
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In two instances no information could be obtained, and in ten no definite history of exposure could be ascertained, but in six of the latter, their employment constantly exposed them to infection. Three were employed in laundries—two females and one male. Although laundresses do not appear to suffer excessively from Co...
56132b2f-53b6-48c3-b475-7ab44259e29b
Although all sanitary efforts tend towards the first object, the special arrangements made by the Council have been directed for the most part with the object of limiting the spread of infection. To attain this end the first essential is accurate information as to the distribution of the disease, and to gain this infor...
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20 If the sputum is collected in a spittoon and burnt or otherwise destroyed it is probably dangerous to no one. Even if thrown into dry and well-lighted surroundings, exposed to the rays of the sun. it loses its dangerous properties. But if it remains in dark and damp surroundings it will maintain its activity for a l...
ff0997fe-4b75-4bda-a46c-ef09fdcc154c
Only twelve persons applied for admission during 1906, and of these four were in too advanced a state to benefit from the treatment. Very rarely the three beds were occupied during the year, and from a return issued, it was shown that two beds would more than suffice for the applications received. Our first difficulty ...
9a3486a3-1f55-4f25-b400-124c92a0e0da
It undertakes the bacteriological examination of all suspicious cases, and during the year thirty such examinations were made, but in almost every instance the patient was too far advanced to benefit from Sanatorium treatment. In France anti-tuberculous dispensaries have been established. Foremen are educated and they ...
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To some of those who have applied, it has been pointed out what "cure" means in consumption, and in one instance the sufferer was able to obtain an outdoor employment after his discharge from the Sanatorium. Unfortunately, a large number of patients do not quite appreciate what a "cure" in consumption means. The diseas...
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Consumption is similar to Scarlet Fever and Diphtheria in this respect, that they are infectious diseases and caused by microorganisms, but there is this broad distinction to be drawn between them —in one class, an attack renders the individual more liable to a relapse, or more correctly, to a recurrence, whilst in the...
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unless, of course, the authorities governing such institutions can combine them with working colonies, where poor patients could be put in the way of fitting themselves for a useful outdoor life after 2 2 leaving the Sarvtorium. The majority of the poorer classes who suffer are accustomed to an indoor life, and if sent...
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If the relative incidence of Measles on certain age-groups be considered, it will be found that the mortality from the disease falls heaviest on children under 5 years of age. Throughout the kingdom the birth-rate has been steadily and continuously diminishing during the last 20 years, and, consequently, the proportion...
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This accounts for the apparent constancy of the birth-rate, but if the rate be expressed as the ratio of births to the number of married women between the ages of 15 and 45 years, the same phenomenon would be observed here as in the rest of the kingdom. In view of the fact that the relative proportion of children under...
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It will be observed with what regularity Measles appears in an epidemic form. An epidemic made its appearance almost every second year, and the district was visited by a major epidemic at intervals of 4, 3, 4, and 6 years respectively. If these periods were analysed more minutely, the cyclical character of the epidemic...
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This rise will be made more evident if we dissect the figures in the chart and take the mortality for certain definite periods. The following Table gives the annual number of deaths per 100,000 inhabitants in quinquennial periods for the 25 years, 1882-1906: 1882-86. 1887-91. 1892-96. 1897-1901. 1902-1906. 32.6 66.6 50...
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In the quarter of a century Small-pox has caused 13 deaths, but in Measles we have a disease which claims as its tribute every year almost that number of lives. The victims of the latter form the silent, the innocent and the unprotected portion of the community. 24 Chart showing the number of deaths from measles per 10...
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After a certain period, the older the child, the less susceptible he is to the disease, and even if they contract the disease, children over 5 years of age rarely succumb. The age at which relatively the greatest number of children die of Measles is the second year of life; while after the third year has passed there i...
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While, therefore, more children die of Measles in the second year of life than at any other age, more children are attacked by this disease in each i f the three years following; so that children in the second year of life, although less susceptible to attack, are much more likely to die if attacked than any other chil...
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1-2 2-3 3-4 4-5 5-6 6-7 7-8 8-9 9-10 Age uncertain. 11 21 8 12 55 92 74 36 3 5 28 26 The ages at death were as follows:— Under 6 months 1 6 and under 12 months 3 Total under 1 year 4 1 and under 2 years 14 2 and under 3 years % 6 4 and under 5 years 1 5 and under 6 years 2 Total 27 Of course, it is understood that thes...
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The above figures, though, do bear out the assumption that the fatality from the disease is lower in children above the age of 2 years. This aspect of the question is worthy of consideration, as bearing upon the epidemicity of the disease. If the assumption be correct, and it probably is. the length of the inter-epidem...
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27 These, in the main would constitute our most important means towards attaining our first object, for the isolation of every case of Measles from the first onset to the end of the third week would undoubtedly enable an outbreak to be brought abruptly to a close, as no second crop of cases would occur. This ideal will...
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On account of this early infectiousness, the difficulty of preventing an epidemic will be appreciated. Whatever the ultimate cause may be. the disease is contracted through personal contact with an infected case, and though this personal contact was not clearly proved in every instance, yet the course of the outbreak p...
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28 Roughly speaking, the outbreak spread from west to east, and the number that occurred to the north of the Uxbridge Road was small. The attendance at St. Mary's and.the Priory Schools was not appreciably affected, but cases occurred in Beaumont Park School towards the beginning of February. The earliest cases at the ...
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Colville Road 3 „ Park Road North 3 „ Holland Terrace 3 ,, Cunnington Street 2 „ Fletcher Road 2 „ Bollo Bridge Road 2 „ Antrobus Road 1 death. Bolton Road 1 „ Bridgman Road 1 „ Somerset Road 1 „ Speldhurst Road 1 „ Gloucester Road 1 „ Bollo Lane 1 „ Clovelly Road 1 „ The 27 deaths occurred in 25 households, one death ...
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This connection of school attendance and infection brings us to a consideration of the preventive measures against Measles. Formerly, it was the practice to exclude all the children of infected houses from attending school, but in the boys' and girls' departments, the classes arc protected to such an extent on account ...
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Acting upon this experience, the Education Committee of the London County Council have adopted the following addition to their Code of Instructions to Teachers:— Children suffering from Measles must be excluded for at least one month. Children coming from houses where Measles exists, but who are nor themselves sufferin...
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In the main, the above rules were carried out here, but there was a lack of uniformity in the various schools, as to the conditions under which a child was excluded from attendance. 30 The desirability of issuing definite rules to teachers and attendance officers might be considered by the Education Committee. As might...
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Except in certain better-class districts 75 per cent. of children above 5 are protected; yet owing to the exigencies of attendance, the whole department is closed. Before the withdrawal of Article 10 r of the old Code, separate classes could be closed. Now, if separate classes are closed, the average attendance suffers...
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The practice of waiting until the attendance falls below a certain mark does no good, and the responsibility of protecting the average attendance could well be placed on shoulders other than those of the Sanitary Department if some definite rule be adopted. At present a very great difference of opinion exists. Dr. May,...