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

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Holborn 1927

[Report of the Medical Officer of Health for Holborn Borough]

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107
Dealth of Children 1 to 5 Years, 1927.

Twelve children between the ages 1 to 5 years died from the following causes:—

Cause of Death.Ages.Total. 1-5
1-22-33-44-5
M.F.M.F.M.F.M.F.M.FBoth Sexes
Whooping Cough...1...............1...22
Tuberculosis (non-pulmonary)1............1......112
Pneumonia...2...1......1...134
Bronchitis...1.....................11
Diarrhœa...1]...............1I2
Other Causes.....................1...11
Totals151101123912
Totals—Both Sexes621312

Infectious Diseases among Mothers and Children.
Puerperal Fever and Puerperal Pyrexia.
Four cases of puerperal fever occurred in 1927; 3 of these were notified and
information of 1 was obtained from the death returns; 2 patients died. Notification
was also received of 8 cases of puerperal pyrexia.
The details of the cases of puerperal fever are as follows:—
Case No. 1 (notified March 12th). The disease followed the birth at home of a full-time
child; there had been six previous pregnancies, terminating in two full-time live births,
one stillbirth and three miscarriages; the mother has attended the ante-natal clinic at the
Council's Centre. The case occurred in the extern practice of a midwifery institution, a
doctor being called in when a rise of temperature occurred on the 7th day. It was stated that
a considerable amount of pelvic cellulitis and cystitis existed. The history of the
case suggested that there was old standing pelvic inflammation and that the condition was
not entirely due to the present confinement.
Case No. 2 (notified May 11th). The disease followed the birth of a full-time child; there
had been six previous pregnancies, terminating in five full-time live births and one
abortion. The birth occurred in the extern practice of the midwifery department of a
hospital; partial retention of membrane seemed to have been the cause of the onset of illness.
The patient had attended the Council's ante-natal Centre, and that of a hospital; she was
removed to this hospital on the fourth day of the puerperium and made a good recovery.
Case No. 3 (information from death returns, November 9th). The disease followed an
abortion about the end of the third month of pregnancy. There had been one previous pregnancy
terminating in a two months' abortion . When the patient complained at home of illness