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

View report page

Croydon 1958

[Report of the Medical Officer of Health for Croydon]

This page requires JavaScript

23
Scarlet Fever:- Cases were of the usual mild type excepting
one child who had developed toxic jaundice and enteritis. Age
distribution was, under 5 years -24; 5 - 15 years - 40;
adults - 6. The following complications were encountered:
Streptococcal fissures 6; otitis media, 4; rhinorrhoea, 3;
ulcerative stomatitis 2; and one case each of enteritis,
jaundice, lymphadenitis and impetigo.
Gastro-enteritis: - The number of patients treated in the
different age groups were, under 1 year, 30; 1-2 years, 6;
2-15 years 11; adults - 13. Of these cases 9 were very
severe, 21 moderately severe and 30 mild.
Pneumonia (including influenzal pneumonia):- These admissions
were mainly in the winter months, 41 of the total of 52 being
admitted in the months of January, February, March and December.
There were seven deaths, all occurring during these months.
These deaths were in elderly patients, excepting a boy, 19 years,
in whom pneumonia was a terminal illness, following a long
history of uraemia due to scarlet fever nephritis in childhood.
Measles:- Measles was not generally prevalent during the year
and no cases were admitted in the first four months. 35
patients were admitted during the months May - August, from a
minor epidemic and a further 15 in the last quarter, representing
the early cases of the current epidemic. The patients
were in the following age groups; under one year - 7; 1-2
years, 12; 2 - 5 years, 19; 5-15 years, 10 and adults - 2.
The incidence of complications were:- pneumonia - 17, bronchitis
- 4, enteritis - 4. and one case each of encephalitis, otitis
nedia, lobar collapse and epistaxis.
Chicken-pox:- As customary, the majority of chicken-pox patients
came from hospitals, rest centres and nurseries. One
adult case of chicken-pox was complicated by acute gangrenous
appendicitis, another with lobar pneumonia and there were two
cases of chicken-pox meningoencephalitis. In these latter
patients, central nervous system involvement occurred six and
seven days respectively after the onset of the rash.
Whooping Cough:- The age groups of the patients admitted were:under
one year, 9; 1-4 years, 12; 4-8 years, 4. Complications
were fewer and less severe than usual. They consisted
°f four cases of secondary bronchitis and one case each of lobar
collapse, enteritis, and conjunctivitis.