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20
Scarlet Fever:- Three-fourths of the cases were admitted during
the first five months of the year, and there was the usual preponderance
of school age children.
Complications - Rhinitis - 13; Secondary Sore Throat - 12;
Septic Sores - 7; Lymphadenitis (cervical) - 5; Angular
Stomatitis - 4; Endocarditis - 3; Furuncuiosis - 3; Otitis
Media - 1; Nephritis - 1; Paronychia - 1; Bronchitis - 1; Facial
Herpes - 1; Vaginitis - 1.
Gastro-Enteritis: - 75 patients were admitted in the following
age groups - under one year - 43; 1-2 years - 8; 2-15 years
- 13; Adults - 11; In 11 cases the illness was very severe, in
30 moderately severe and in 33 patients the illness was mild.
The incidence of very severe attacks was highest in patients
under one year. In a few cases each, B. proteus, staphylococcus
aureus, atypical B.Coli and monilia were isolated as predominant
organisms in faecal culture, but in the large majority of cases
the nature of the infecting organism remained obscure. There
were no deaths.
Dysentery:- Of the total of 55 Datients admitted, 40 were due to
Shigella Sonne, 11 to Shigella Boydii and 4 to Shigella Flexner.
Though, in tne majority of patients the illness was of a mild
type, two patients were dangerously ill, one a boy of 6 years
with Flexner type infection and the other a woman aged 50 years
- Sonne type. Drug sensitivities were carried out in a high
proportion of cases and resistent strains revealed as follows:-
Sulphonamide resistent - 15; Streptomycin resistent - 4;
Tetracycline resistent - 1; Chloramphenicol resistent - 2;
Of the total, there were five patients in whom the carrier
state persisted for more than one month.
Pneumonia:- Hospital admissions tended as usual to involve the
very young and the elderly debilitated type of patient. These
debilitating conditions were experienced as follows:Chronic
bronchitis - 12 cases; pulmonary emphysema - 11 cases;
arterio-sclerosis - 4; valvular heart disease - 3; 2 cases each
of anaemia and pleural effusion and one case each of pulmonary
fibrosis, pneumothorax, severe senile kyphosis, strangulated
hernia and severe rectal prolapse. The majority of these patients
were admitted in the first three months of the year.