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17
Scarlet Fever:- There was only one hypertoxic case who required
serum as well as pencillin. Other complications which
were experienced:- 12 cases of rhinitis, 6 cases each of otitis
and streptococcal sores, four each of cervical lymphadenitis and
angular stomatitis, 3 cases of secondary sore throat and
paronychia, 2 cases each of bronchitis and impetigo and one case
of pneumonia furunculosis and pencillin allergy. One case developed
due to infection of burns.
The patients' age groups were - under 5, 20; 5-15, 70;
adults, 3.
Measles:- Measles was epidemic during the early part of the
year and 75 of the 83 admissions occurred in the months of January
to May inclusive. The number of cases admitted in the
different age groups were as follows:- under one year, 8 (including
2 patients under 6 months), 1-2 years, 10; 2-5 years
38; 5-15 years, 16; adults, 8. This shows the increased likelihood
of hospital admission being required in children who contract
measles under 5 years. Approximately, one half of the
measles patients were admitted with complications, the remainder
being admitted from residential schools, nurseries, rest centres,
children's homes, lodgings and hostels and under other circumstances
where home care could not be provided; also from overcrowded
homes and hospital in-patients. Complications present
were as follows:- pneumonia, 27 patients; 6 cases each of enteritis
and bronchitis; 3 cases each of meningo-encephalitis and
rhinitis; two cases each of convulsions and secondary conjunctivitis
and one case each of secondary blepharitis, tonsillitis,
stomatitis, gastritis and otitis media.
There was one death - a woman, aged 71 years, who developed
measles encephalitis.
Gastro-enteritis:- 82 cases were admitted and were in the
following age groups. Under one year, 31; 1-2 years, 11; 2
15 years, 12; adults, 28. Of these cases, 8 were very severe, 46
moderately severe and 35 mild. There were two deaths, aged 19
months and 3 weeks respectively. A higher proportion of the
milder cases occurred in the older age groups. On the other
hand, many of the older patients were suffering from other disabilities
such as cardiac failure, pneumonia, diverticulitis,
pregnancy, and nervous dyspepsia.