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

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Hornsey 1918

[Report of the Medical Officer of Health for Hornsey, Borough of]

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— 14 —
Deaths During the Year.—Amongst children who have attended
during the year there has been seven deaths, 1 over one
year and 6 under one year. Two only of these children were
regular attendants.
The following is an analysis of these deaths:—
OVER ONE YEAR.
Cause of Death. Treatment. Attendance.
1. Pneumonia. In Hospital. Regular.
(Note on case. — Healthy child from birth. Home care good).
UNDER ONE YEAR.
1. Marasmus. Whooping Cought Pneumonia In Hospital. Regular.
2. Pneumonia. At Home. 2 attendances.
3. Marasmus
Twins- Hospital. 3 do.
4. do.
5. Syphilis. At Home. 1 attendance.
Marasmus
6. Broncho Pneumonia. At Home. 1 do.
The following are notes on these cases:—
1. Child premature; very delicate from birth. Mother
suffering from advanced Pulmonary Tuberculosis. Home
care excellent.
2. Child healthy. Home care fajrly good. Child referred
to Hospital.
3 and 4. Marasmus. Mother unable to cope with difficulties
of feeding or to carry out the numerous, instructions of
authorities to whom she took the children for advice.
These children should have been admitted very much
earlier to hospital, but no hospital wasi able to take them
in until their condition was practically hopeless.
5. This was a "nursed out." child brought to us for the first
time almost moribund. It was referred back immediately
to its private Doctor.
6. Mother had to support herself, being separated from her
husband; the child in consequence did not receive ordinary
intelligent care. Child healthy.