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

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Southall 1944

[Report of the Medical Officer of Health for Southall]

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REPORT ON THE BOROUGH ISOLATION HOSPITAL.
During the year 184 patients were admitted to the Isolation Hospital, as compared
with 3x3 in 1943. Of these, 109 were sent in as scarlatina, 16 as diphtheria, 7 as measles
and pneumonia, 10 as impetigo and scabies, 1 as meningitis carrier, 3 as erysipelas, 1 as
dysentery, 5 as mumps, 6 as chicken-pox, and 26 as rubella. Of the cases sent in as
scarlatina, 6 were unconfirmed and were diagnosed as suffering from other diseases.
Similarly, of the cases sent in as diphtheria or suspected diphtheria 4 were unconfirmed.
(Tables No. XXX and XXXI show the figures for the year and for each month,
respectively.)
Scarlatina.
Of the 109 cases notified as scarlatina, 103 were finally diagnosed, and the following
table shows the incidence in age groups of the 103 cases which were nursed in the hospital :—

Table K.

Age (years)0-55-1515-2525-3535 +
Number336055

One minor operation was performed for incision of abscess of groin.
One case of scarlatina developed mumps 25 days after admission—no secondary
case. 1 case was admitted suffering from chicken-pox in addition—1 secondary case.
3 cases developed rubella.

Complications of the cases of scarlatina were:—

Cervical adenitis2Boils1
Rhinitis13Otorrhoea5
Nephritis2Blepharitis1
Secondary attacks1Abscess1
Septic sores1Anaemia1
Septic finger1Tonsilitis2
Bronchitis7Otitis Media1
Cardiac irregularity, etc.13

Diphtheria.
Sixteen cases notified as diphtheria were admitted to the hospital. 12 of these
were confirmed as diphtheria.
The following table shows the incidence of the cases in age groups:—

Table L.

Age (years).0-55-1515-2525-3535 +
Number822

The clinical types in which the diagnosis was substantiated were as follows:—
Tonsillar (Faucial) 6
Naso-pharyngeal 2
"Bacteriological" 3
Laryngeal 1
The complications recorded were as follows:—
Cardiac irregularity 2
Palatal paralysis 1
18