View report page

52
Three notifications of " secondary " cases were received. From two hospitals
in the Borough 62 in-patients were notified as so suffering; none was resident in
Holborn. There was no " return " case of scarlet fever.
There was no death from this disease.
14,119 cases of scarlet fever were notified in London with 85 deaths.
Acute Rheumatism in Children.
The Holborn (Acute Rheumatism) Regulations of 1929 came into
force on the 1st April, 1929 ; these require the notification of acute rheumatism
in children up to the age of sixteen years. The Regulations are superseded from
the 1st January, 1933, by the Holborn (Acute Rheumatism) Regulations, 1932.
Acute rheumatism as defined by the Regulations means: —
(i) Rheumatic pain or arthritis, if accompanied by a rise in temperature;
(ii) Rheumatic chorea (St. Vitus' dance);
(iii) Rheumatic carditis.
Eighteen cases were notified in 1932. As regards the source of information
relating to the total number of notifications from 1929 to 1932 seven were notified
by doctors in private practice, eight were notified by an Assistant School Medical
Officer, 23 were notified by doctors in institutional practice, 13 were notified by
the Medical Officer of the Rheumatism Supervisory Clinic, and 49 were notified
by the District Organiser of the L.C.C. Care Committee as having been definitely
stated medically to be suffering from rheumatism.
Rheumatism in children attending school is from time to time reported to
the Health Visitors by parents; if the child is not already notified as suffering from
rheumatism the information is given to the District Organiser of the L.C.C. Care
Committee (Miss H. Bell, to whom we have reason to be grateful) at a monthly
conference between the Organiser and the Health Visitors. Miss Bell arranges
for medical examination of the child at school.
Of 73 cases reported by parents to the Health Visitors, the diagnosis of
rheumatism was confirmed in 28.
The total notifications received up to the end of 1932 are classified as :—
Rheumatic tendency 4
Sub-acute rheumatism 46
Acute rheumatism 35
Post-rheumatic 15
100