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

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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London

Croydon 1932

[Report of the Medical Officer of Health for Croydon]

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Name.Day of Disease.Condition on Admission.Subsequent progress.Date of Death Days after Admission
(7) K.L. (M.) 6½ yrs.4Extensive membrane over pharynx: glands + + (Right); foetor; colour: fair.Heart failure on admission and vomiting; very restless; gradually worse and semiconscious at end.3 days.
(8) R.B. (M.) 6 years.4Croupy; pallor and membrane on tonsils; (recent opern. for T. and A.s); heart sounds rapid and weak; some recession.Heart failure marked on admission growing rapidly worse, died suddenly.5½ hours.
(9) N.H. (F.) 5 years.4Extensive membrane over whole pharynx; bull neck; foetor and toxemia; very pale.Restless and showed signs of heart failure on admission, which was progressive ; bleeding + + from nose and mouth; bruising; condition grew steadily worse.7 days.

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Analysis of Fatal Cases.
The cases were divided as follows:
2 were moribund on admission, living only for a few hours.
1 was hœmorrhagic.
4 shewed signs of heart failure on admission.
2 shewed signs of heart failure on 3rd day after admission.
1 was really a case of broncho-pneumonia following
measles, with + nasal swab.
There were 3 males and 6 females.
None of the cases was admitted before the 3rd day of disease.
They were all severe cases with extensive membrane, enlarged
glands and toxemia and foetor.