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 1934
[Report of the Medical Officer of Health for Croydon]
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Table XII.
| Name. | Day of Disease. | Condition on Admission. | Subsequent progress. | Date of Death Days after ad. mission. |
|---|---|---|---|---|
| (l)H.B. (F) 5 yrs. | 7 | Moribund, croupy and cyanosed. Some recession. Glands of neck + +. Received no serum before admission. | Tracheotomy performed on admission but child collapsed. | 1 hour |
| (2) T.B. (M) 3½ yrs. | 4 | Marked stridor and recission; some broncho-pneumonia cyanosis. No serum given before admission. | Tracheotomy performed on admission with relief, but respirations and temperature kept up. Became very restless and cyanosed 2 days later and died through rapid heart failure. | 3 days |
| (3) M.B. (F) 9 yrs. | 5 | Moribund on admission. Sloughing membrane over whole of pharynx. Bull neck. Heart sounds almost imperceptible; very restless. No serum given before admission. | Restlessness increased, colour and pulse poor. Died 2½ hours after admission. | hours |
| (4) J.C. (F) 511/12 yrs. | 5 | Extensive membrane over whole pharynx. Foetor +. Bull neck. Profuse rhinorrhoea. Serum given before once. | Given 28,000 units of serum intra-venously and 16,000 units in-tra-muscularly on admission. Started vomiting and showing signs of heart failure 6 days after admission. Died by increasing heart fail-ure. | 12 days |
| (6) D.C. (F) 5 yrs. | 4 | Extensive membrane over whole pharynx; foetor; much oedema of throat; glands of neck + +; colour poor. Heart sounds soft and rapid. Given 8,000 units before admission. | Collapsed suddenly after injection of serum given on day after admission. | 2 days |