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Puerperal pyrexia is defined as any febrile condition occurring in a
woman in whom a temperature of 100.4º F. or more has occurred within
fourteen days after childbirth or miscarriage. The following table shows
an analysis of the causes of pyrexia in the cases notified in 1964:
Cause Number
of cases
Respiratory infection 1
Genital tract infection 8
Influenza 2
Urinary infection 2
Urinary tract infection 1
Pyelonephritis 1
Chest infection following L.S.C.S 1
Haemolytic streptococcal infection of genital tract 1
Unknown 19
International Certificates of Vaccination and Inoculation
Arrangements continued during the year for the authentication by
the Medical Officer of Health of International Certificates of Vaccination
and Inoculation completed by medical practitioners in Westminster.
These certificates are required by passengers proceeding abroad from
this country and the purpose of the authentication is to provide proof
to those health authorities abroad who desire it that the signature of the
person issuing the certificate is that of a registered medical practitioner.
Three thousand, six hundred and sixteen such certificates were
authenticated in 1964, compared with 16,206 in 1962 and 3.083 in 1963.
The Medical Officer of Health also issues, on request and in appropriate
circumstances, certificates to the effect that no cases of smallpox have
occurred in the district during the preceding two weeks. These certificates
are sought by persons proceeding to the United States of America who
do not wish to submit to vaccination. It is understood that the United
States immigration authorities reserve the right to place such persons
under surveillance notwithstanding the production of such a certificate.
Sixty-one of these certificates were issued during 1964, compared with
36 in the previous year.
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