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49
Of the 32 chronic cases on the register 2 removed during the
year. When first notified or reported 24 of the remaining 30 were
under 5 years of age, and in 1932, 3 were over 16 years, 23 were of
school age, and 4 under 5 years. Of the 23 school children 6 were
scholars at elementary or secondary schools, 13 attended special
schools for defective children, and 4 were at educational or cripple
establishments outside London.
Twenty-two of the 30 cases were receiving periodic treatment at
out-patient departments of various hospitals, 4 were receiving no
treatment, and 4 were in. institutions.
No case of acute Polio-Encephalitis was notified during 1932.
Puerperal Fever and Puerperal Pyrexia.
Four cases of Puerperal Fever were notified in Battersea in
1932, as compared with 6 in 1931, 9 in 1930, 4 in 1929, and 7 in
1928.
Two deaths from the disease were registered, of which one
occurred in St. James's Hospital* and one in the North Western
Hospital of the London County Council, to which cases of puerperal
sepsis are removed. Careful investigation was made in these two
cases in connection with the Government's enquiry into maternal
mortality (vide page 38), and the result forwarded to the Ministry
of Health.
The number of notified cases per 1,000 births was 1.72, as
compared with 2.42 in 1931, 3.39 in 1930, 1.53 in 1929, and
2.55 in 1928.
The case-mortality was 40 per cent. of the cases notified and
reported, and the death-rate per 1,000 births was 0.86.
There were 220 cases of Puerperal Fever notified in London
and 2,122 in England and Wales during 1932.
The number of cases of Puerperal Pyrexia notified in Battersea
during 1932 was 14, and the incidence per 1,000 births was 6.04.
There were 748 cases of Puerperal Pyrexia notified in London
and 5,445 in England and Wales during the year.
Under the provisions of the Public Health (Notification of
Puerperal Fever and Puerperal Pyrexia) Regulations, 1926, the
Council have appointed a consultant to assist medical practitioners
in the diagnosis of these diseases, and have provided facilities for the
examination of lochia or specimens from patients, and for the nursing
of cases where required. Hospital accommodation for the treatment
of this disease is provided by the London County Council in
their North Western Hospital.
* This case was notified as one of Puerperal Pyrexia.