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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None of the confirmed cases were of the very severe type,
and the only complications which occurred were:—
Heart Block 2 Secondary Sore Throat 1
There were no fatal cases. Five of the 8 cases had not
previously been immunised against diphtheria.
Mumps.
Of the 27 patients admitted all but one were considered to
be suffering from this disease. This was two admissions fewer
lhan in the previous year. One case of orchitis was the onlv
complication which developed.
Poliomyelitis
Among the l(i patients admitted as suffering from poliomyelitis
the following revised diagnoses were established:—
Hysteria 2 Hemiplegia 1 Lobar Influenza 1
Pneumonia 1
The diagnosis of poliomyelitis was established in the remaining
11 cases, and there was one case of polio-encephalitis admitted
as encephalitis lethargica. Though much below the epidemic
figure of 51 cases in t-he previous year, this is a higher incidence
of the disease than is normally experienced. As usual, this
higher incidence was in the last five months of the year, when
there were 8 cases as compared with 3 cases in the first seven
months. The one fatal case was due to respiratory paralysis
affecting a woman at full term pregnancy. Two other cases
required respirator treatment.
Scarlet Fever.
The total number of cases admitted during the year as
suffering from scarlet fever was 366. The diagnosis of scarlet
fever was confirmed in 342 of these cases while one case admitted
as tonsilitis subsequently developed scarlet fever. This total of
343 cases is 134 fewer than in the previous year. The highest
prevalence was during the first three months of the year when
(wo scarlet fever wards were in use. For the remainder of the
year one ward sufficed.
The following complications and sequelae occurred:—
Otitis Media 29 Adenitis 10 Vaginitis 1
Rhinorrhoea 27 Glandular Abscess 3 Endocarditis 3
Secondary Scarlet Fever 9 Paronychia 10 Rheumatism 4
Secondary Sore Throat 8 Streptococcal Fissure 9 Erythema Nodosum 2
Peritonsillar Abscess 1 Impetigo 4 Chorea 1
Sinusitis 4 Furunculosis 2 Nephritis 2
Bronchitis 6 Conjunctivitis 1 Jaundice 1
Lobar Pneumonia 1
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