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

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Croydon 1961

[Report of the Medical Officer of Health for Croydon]

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21
Scarlet Fever: - Probably on account of the small number admitted
no definite seasonal prevalence was noticeable. 8 patients admitted
in March was the highest monthly incidence. Of the total
9 were under five; 27-five to fifteen and 3 adults. Complications
present were mild. They occurred as follows:- three
cases of angular stomatitis, two cases each of otitis media,
impetigo, lymphadenitis, rhinitis and secondary sore throat; one
case each of abscess, secondary tonsillitis and paronychia.
Pneumonia:- As a group, the pneumonia patients tended to be very
ill due to co-existing diseases and disabilities, and there were
seven deaths among the 32 patients admitted. Thus, there were 7
cases of myocardiac degeneration, 5 of chronic bronchitis and
emphysema, 4 of lobar collapse, 2 cases each of valvular heart
disease and pleural effusion and one case each of pulmonary
fibrosis, pneumonectomy, bronchiectasis, advanced muscular
dystrophy, infective polyneuritis, deltoid paralysis, perforated
gastric ulcer and chronic nephritis and uraemia. 13 of the total
number were admitted in December.
Chicken-pox:- Of the 30 patients admitted, 14 were adults in whom
the illness tends to be more severe. Most of the requests for
admission came from other hospitals either in respect of their
patients or their staff. Disregarding the unrelated illnesses
from which the patients from other hospitals were suffering, the
only complications met were bronchitis and herpes zoster. The
greatest prevalence was in December when 8 patients were admitted
ftooping Oougji:- as usual, whooping cough admissions were mainly
confined to infants. Age groups were as follows:- 0-1 year9:
1-3 years-10; over 4 years-2 patients. Complications
Present were bronchitis-7 cases; pneumonia-2 cases; lobar
collapse-2 cases and gastro-enteritis-1 case. Concurrent
illnesses present were anaemia and muscular dystrophy.
Meningitis and Encephalitis:-15 of the total of 21 were virus
infections of unidentified nature. The remaining cases were:meningococcal-3;
staphylococcal-1; unknown pyogenic
infection-l; coxsackie B-1. The cases listed above are in
addition to 4 cases of measles and one case of glandular fever
meningo-encephalitis and one poliomyelitis meningitis.