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Gastro-enteritis:-107 cases were admitted in the following age
groups:- Under one year-52; 1-3 years-26; 4-15 years18;
Adults-15. 13 were gravely ill, 62 moderately severe and
32 mild. Recognised pathogens were isolated as follows:E.
Coli 0. Il-12 cases; E. Cbli 0. 128 - 7 cases; E. Coli 0.55
-3 cases; E. Coli 0.26-1 case; Staph. Aureus-1 case.
Associated illnesses were present as follows:-
Rhinitis-9 ceses; Bronchitis-8 cases; Anaemia-5 cases;
Tonsillitis-3 cases; and one case each nf Pneumonia, otitis
media, stomatitis, conjunctivitis, dermatitis, eczema, coeliac
disease and congestive heart failure. No fatalities occurred.
Rubella: - Rubella was the only infectious disease which showed
an unusually high incidence of complications and admissions.
The period of high prevalence was from April to July inclusive
during which 44 of the total of 50 admissions occurred. The
following complications were encountered:- Encephalitis-3
cases; Gastro-enteritis-2 cases; Thrombocytopenic Meningitis
-1 case; Tonsillitis-4 cases; Purpura-1 case; Neuritis-1
case; Pneumonia-1 case; Convulsions-1 case; Lobar Collapse
-1 case; Admissions for residential reasons were made in respect
of 12 nurses, 3 patients from Children's Homes, 3 from
hostels and 2 from remand homes. Rubella patients in hospital
because of other illnesses were as follows:- tonsillectomy-2,
fractures-2 and one case each hernia, hydrocele, eczema,
diabetes, carcinoma and head injury.
Dysenteiy:-42 cases were of the Sonne type, 2 of the flexner
and one shiga. Only 7 patients were admitted free from their
own homes, the remainder coming from hospitals, hostels, hotels,
nurseries and residential schools. 15 patients were admitted
in November due to an outbreak at a local nursery but otherwise
there was no particular seasonal incidence. 28 patients were in
the 0-5 year age group, 9 were 5-15 years and 8 adults.
Co-existing illnesses were:- upper respiratory infections 13,
measles and rubella 3 each, 2 cases of tonsillitis and one case
of diabetes, myocardiac degeneration, appendicitis, impetigo
and dental abscess. The one patient suffering from shiga dysentery
was severely ill. He was a B.O. A. C. employee and would
have appeared to have contracted the infection in Karachi.
Only one patient left hospital while still infectious (onemonth
after admission) Drug resistant strains were encountered as
follows:- Sulphonamide resistant - K; Chloramphenicol resistant
-2; Tetracycline resistant-10, Neomycin resistant-1:
Streptomycin resistant-10.