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1923
10
PUERPERAL FEVER.
Definition.—The Royal College of Physicians' definition of Puerperal Fever is:
Septicemia, Pyemia, Septic Peritonitis, Septic Metritis, and other acute septic
inflammation in the pelvis occurring as the direct result of child-birth.
22 cases were notified in 1921, and 20 during the previous year, being in the proportion
of 310 per 1,000 births. The notifications were 1 below the average (23) of the preceding
10 years, and showed a decrease of 0.06 in the proportion of attacks to 1,000 births.
Cases of Puerperal Fever notified and inquired into during the year 1923.
Tufnell.
Upper
Holloway.
Tollington.
Lower
Holloway.
Highbury.
Barnsbury.
South
East
The
Borough
Cases notified
1
—
3
4
5
7
2
22
Private Practitioners' Cases
—
—
3
3
3
2
1
13
Hospital Cases
1
—
—
1
1
2
1
6
Certified Midwives' Cases .
—
—
—
—
—
3
—
3
Cases inquired into
1
—
3
4
5
7
2
22
Cases treated in Hospital
1
—
1
4
4
6
2
18
Cases treated at Home
—
—
2
—
1
1
—
4
Of the 22 notified cases, 18 were treated in Hospitals. 11 cases were removed to
Metropolitan Asylums Board Hospitals; and 7 cases were removed to other London
Hospitals.
Deaths.—Nine deaths were registered as being due to Puerperal Fever. Six of these,
however, were not notified, and are not included in the cases given in above tabular summary.
THE MILK SCHEME FOR NECESSITOUS EXPECTANT AND NURSING
MOTHERS AND CHILDREN UNDER FIVE YEARS OF AGE.
The sum expended during the year 1923 in the provision of fresh and dried milk for
necessitous expectant and nursing mothers and children under five years of age amounted
to £3,581 10s. 11d., as against £2,729 3s. 7d. in 1922. The total amount expended since
the Order came into operation is £36,527 14s. 4d.
The scheme for the distribution of milk was altered by resolution of the Council at
their meeting on the 26th October, 1922.
The scale is given below:
No. in
family. Free. Half-cost.
1 13/- after deduction of rent 15/- after deduction of rent
2 10/6 per head after deduction of rent 12/6 per head after deduction of rent
3 8/6 „ „ 10/- „ „
4 7/6 „ „ 8/6 „ „
5 7/- „ „ 8/-„ „
6 6/6 „ „ 7/6 „ „
Extension of Municipal Work.—The Maternity and Child Welfare Committee on the
12th December appointed a Sub-Committee to consider and report as to the work of the
Health Visitors and the necessity (if any) of increasing the staff in the Maternity and Child
Welfare section of the Public Health Department.