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The Public Health (Notification of Puerperal Fever and
Puerperal Pyrexia) Amendment Regulations, 1928, amended the
main Regulations of 1926 by requiring the notification of a case of
Puerperal Pyrexia to be sent to the Medical Officer of Health of
the district within which the case occurs, instead of as before, to
the place in which the residence of the woman was situate, but in
the case of a patient in a Hospital the notification is to be sent
to the Medical Officer of Health of the district from which the
patient was brought to the Hospital.
There were 767 cases of puerperal pyrexia notified in London
and 5,450 in England and Wales during the year.
Enteric Fever.
During 1928 thirteen cases of enteric fever (including 8 of
Paratyphoid Fever) were notified in Battersea. Of these 5 cases
(one notified as paratyphoid) were cancelled, the diagnosis not
being confirmed at hospital. There was one death from this disease
during 1928, this being a case occurring in a mental hospital,
and not notified in Battersea.
Cerebro-Spinal Fever.
During 1928 six cases of this disease were notified in Battersea,
two of which were subsequently cancelled. Four deaths were
recorded from this disease, one of these being notified as Encephalitis
Lethargica, but the original diagnosis was not confirmed on
removal to hospital.
Encephalitis Lethargica.
Two cases of Encephalitis Lethargica (sleepy sickness) were
notified in Battersea during 1928. In neither of these cases was
the diagnosis confirmed and the notifications were subsequently
cancelled. One death was recorded from the disease (this being
an un-notified case in a mental hospital)* giving a death-rate of
0.006 for the year. Four cases were notified in 1927 and four in
1926.
In 1928 the number of notified cases of this disease in England
and Wales was 1,318, and in London 108.
Ophthalmia Neonatorum.
There were 39 cases of Ophthalmia Neonatorum notified in
Battersea during 1928 as compared with 48 in 1927, 35 cases in
1926, 32 cases in 1925, and 41 cases in 1924. The rate per 1,000
births was 14.2, as compared with 17.1 in 1927, 11.8 in 1926,
10.0 and 13.1 in 1925 and 1924 respectively.
*This death was certified as being due to Encephalitis Lethargica
following a post-mortem examination.