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

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Croydon 1948

[Report of the Medical Officer of Health for Croydon]

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56
Whooping Cough.
65 cases were admitted for this disease. In 5 cases the
diagnosis was amended to bronchitis and in two other cases to
broncho-pneumonia and endocarditis respectively. Whooping
Cough was present as a concomitent infection in one case of
scarlet fever and one measles patient. Thus the number of confirmed
cases was GO as compared with 33 in the previous year.
The following complications occurred:—
Broncho- Cardiac Convulsions 1 Malnutrition 1
pneumonic 10 Failure 4 Otitis Media 1
Enteritis 5 Bronchiectasis 2
The ages of the four fatal cases were 4 months, 9 weeks, 4
weeks, and 3 weeks respectively. Complications present in the
fatal cases were broncho-pneumonia, enteritis, acute heart failure
and convulsions. The two older babies were moribund on
admission and died within 24 hours.
Gastro-Enteritis.
43 cases were admitted for this complaint, in 33 of whom
the diagnosis was confirmed, as well as in one other case admitted
as dysentery. This is 7 cases fewer than in the previous year.
The following complications occurred:—
Relapse of Enteritis 3 Bronchopneumonia 2 Anaemia 1
Paralytic Ileus 2 Jaundice 1 Stomatitis 1
In the 10 admissions where the diagnosis had to be amended
the following diagnoses were established:—
Dysentery 3 Bronchitis 1 Aortic Stenosis 1 Malnutrition 1
Bronchopneumonia 2 Coryza 1 Indigestion 1
One of the fatal cases in this group of admissions was due
to aortic stenosis as shown in the list of amended diagnoses. Of
the remaining five fatalities, 4 belonged to the infantile and one
to the senile type of gastro-enteritis. All four infants were bottlefed,
and their ages were 4 months, 3 months, 3 months, and 7
weeks respectively.
Diphtheria.
The diagnosis of diphtheria was confirmed in only 8 of the
31 patients admitted for this disease. This constitutes a marked
reduction when compared with 27 confirmed cases in the previous
year. The remaining 23 cases were diagnosed as follows :
Tonsillitis 9 Streptococcal Sore Vincents Angina 2
Laryngitis 4 Throat 2 Bronchopneumonia 2
Diphtheria Carrier 1 Peritonsillar Abscess 2 Diphtheroid Carrier 1
26