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

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Willesden 1907

[Report of the Medical Officer of Health for Willesden]

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15
Of the scarlet fever and diphtheria cases 8 suffered
from the latter in a throat form, and in 45 the nose
was affected.
I have alluded in previous reports to these latter
forms of attack as belonging to a type of case which
retains its infectiousness in respect to both diseases,
but, more especially so as regards scarlet fever, for a
very protracted period, and it is mainly due to that
fact that the average duration of stay in hospital of
scarlet fever patients is so long. Moreover, these
cases of scarlet fever, complicated with nasal diphtheria
are, I believe, the cases above all others which
give rise to " return cases " of scarlet fever on their
discharge from hospital, although, in a small percentage
of cases, attacks of diphtheria may result.
OTHER DISEASES.
These numbered six, and were as follows : — one
case of pyaemia, one of cerebro-spinal fever, one
of erysipelas, two of puerperal fever, and two of
measles.
With the exception of cerebro-spinal fever,
patients suffering from these diseases are not
customarily admitted, but as the conditions under
which they would have been treated at home were, in