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

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Ealing 1938

[Report of the Medical Officer of Health for Ealing]

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Secondary Tonsillitis1
Rhinitis1
Pharyngeal abscess1
Alveolar abscess1
Corneal ulceration1
Catarrhal jaundice1
Second attack of diphtheria1

Laryngeal Diphtheria.—Three cases were admitted with this
diagnosis. One child, as described below, died, and the two other
cases were diagnosed as peritonsillar abscess and catarrhal laryngitis
respectively.
Deaths from Diphtheria.—There were four deaths from this
disease, all occurring in children under six years of age. All four
were severe cases on admission and all had over 60,000 units of
anti-toxin. One died on the day of admission and two others in
four days and eight days lespectively. The fourth case suffered
from diphtheria of the trachea and bronchial tubes and tracheotomy
was performed but the child died from septic pneumonia after a
stay in hospital of almost seven weeks.
Return cases.—There were two return cases from children
discharged after the usual three negative swabs had been obtained.
One child was in hospital for 34 days and two days after his discharge
his brother was admitted with diphtheria. A girl of 12 yeais
was sent in as diphtheria and was in hospital for 85 days ; fourteen
days after her discharge her mother was admitted with diphtheria.
Duration of stay.—The average duration of stay in Hospital
for cases of diphtheria was 47.2 days.
Measles.—Thirty-seven cases of measles, mostly with complications,
were admitted for treatment. There were no deaths.
Whooping Cough.—Seven cases of this disease were admitted.
One infant was brought in moribund suffering from whooping cough
and broncho-pneumonia and died one and a half hours after
admission.