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

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Croydon 1930

[Report of the Medical Officer of Health for Croydon]

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92
1,250 patients were admitted and discharged during the year,
whilst, including the patients in at the commencement of 1930
(150), a total of 1,400 cases were dealt with. Twenty-three died,
giving a case mortality for the whole Hospital of 1.8%, a decrease
of 0.2% on 1929.
The average number of days of each patient in Hospital for
all classes of patients was 29.07, a decrease of 1.5 days over 1929.
Penge Urban District Council has an agreement with the
Corporation to send their cases into the Hospital. During 193U
a total of 159 cases were admitted from this district. These cases
are included in the above table.
SCARLET FEVER.
The total number of cases admitted as scarlet fever during
the year was 679. This was a decrease of 35 on last year's total.
623 cases were from the Borough and 56 from areas outside
the Borough, a decrease in Borough cases of 33, and of 2 cases from
outside the Borough. There were 11 definite return cases.
Though the type of scarlet fever in 1930 was of average
severity, a peculiar feature was the large number of cases occurring
over the age of 15 years (as shown by Table XXX VII). This was
also a characteristic of 1929.
118 cases were recorded in the age groups 15-20, 20-30, 30 or
over, as against 137 in 1929 and 93 cases in 1928. There were no
less than 30 cases in the age group 30 or over, a very unusual
occurrence.
The highest number of admissions occurred in January and
December. As usual the admissions fell in August and September.
The prolonged school holiday exerting an effect in the lowness of
the numibers in the latter month.

The following complications and sequelae occurred amongst the 509 scarlet fever patients (excluding the serum-treated cases, 170):—

Adenitis48Ac. Mastoid1
Otorrhoea34Relapses8
Rhinorrhcea47Sore throat1
Albuminuria13Secondary
Nephritis9abscesses7
Rheumatism3Endocarditis1