Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for Croydon]
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Measles: - The disease was epidemic during the early part of the
year and 76 out of the total of 86 admissions were admitted
during the months of February-April inclusive. The ages of
patients admitted were as follows:-under 2 years, 29; 2-4
years, 23; 4-7 years, 27; over 7 years, 7. Complications
present were pneumonia, 25 cases; otitis media, 5 cases;
tonsillitis, 4 cases; three cases each of enteritis, conjunctivitis,
rhinitis and bronchitis, and one case each of encephalitis,
convulsions, tetany and epistaxis. The only fatal case
was that complicated by encephalitis. It concerned a girl, aged
12 years, and death occurred within a few hours of admission.
Scarlet Fever:-The decline in the number of admissions
continued. The number of cases admitted showed the usual
seasonal variation and customary highest incidence between 5 and
7 years of age i.e. early school age. There were two cases of
otitis media. Other complications were of a minor nature.
looping Cough:-The patients admitted were in the following age
groups: under one year, 19 (of whom 11 were under 6 months);
1-4 years, 15; 4-9 years, 1L Complications were present
as follows: pneumonia. 13, bronchitis 4 and one case each of
lobar collapse, conjunctivitis, epistaxis and gastro-enteritis.
Gastro-enteritis:-The number of cases treated in the different
age groups were as follows: under one year, 22; 1-2 years,
12; 2-15 years, 3; adults, 9. 21 cases were mild, 20
moderately severe and 5 cases very severe. There was one fatal
case, a one day old baby, who also had developed pneumonia.
Faecal culture was carried out in all cases but gave no
indication as to the infecting organisms.
Poliomyelitis and Bicephalitis:- Poliomyelitis cases were above
average in numbers and severity. Of the 39 patients diagnosed
as suffering from poliomyelitis, five had meningitis without
paralysis and 34 were paralytic cases. The paralytic cases
could be classified as follows -
Spinal paralysis only
Spinal and respiratory
Spinal and bulbar
Bulbar only
22
5
2
3
Of the above patients, 9 were severely paralysed and there
were two fatal cases.