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

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Croydon 1963

[Report of the Medical Officer of Health for Croydon]

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Gastro-enteritis: - 96 cases were admitted in the following age
groups: - Under one year - 37;. 1-4 years - 26; 5 - 15 years-2;
Adults - 24. 11 were gravely ill, 53 moderately severe and 32
mild. Recognised pathogens were isolated as follows: - E. Coli
0.111 - 5 cases; E. Coli 0.119, E. Coli 0.26, staphylococcus
aureus, B, proteus and enterococcus, one case each. Thus, in the
great majority of cases, including all the severe ones, tie
organism was not isolated. Associated illnesses were present as
follows: - Bronchitis - 5 cases; Anaemia - 5 cases; Bronchopneumonia,
Congestive Heart Failure, Tonsillitis, Rhinitis aid
Eczema - 3 cases each; Rheumatoid Arthritis and Diabetes -2
cases each; and one case each of appendicitis, impetigo,
paronychia, boils, measles, chicken-pox, hypertension, mental
confusion, parkinsonism, thrush, emphysema, conjunctivitis,
prolapse and pharyngitis. Two deaths occurred, one a child of
four months who also was suffering from broncho-pneumonia and
died two days after admission, and the other a lady of 78 years.
Dysentery: - 86 cases were Same and 3 of flexner type. The great
majority of the cases were mild though one child was gravely ill.
Several old people were already seriously ill from other conditions
and one died. 40 patients were admitted from residential
schools and Corporation homes and 12 were admitted from other
hospitals. The following were the age groups of the cases
admitted: - Under one year - 10 cases; 1-4 years - 22 cases;
5-15 years - 27 cases; 15 - 65 years - 17 cases and over 65
13 cases. 7 dysentery organisms were tetracycline resistant, 6
streptomycin resistant and one resistant to chloramphenicol.
All, except a few who prematurely discharged themselves, gave
three consecutive negative faecal results before discharge from
hospital. Co-existing illnesses were :- emphysema 7 cases,
bronchitis 5 cases, heart failure 3 cases, 2 cases each of
appendicectomy, myocardiac degeneration, senile dementia,
pneumonia and diabetes and one case each of osteo-arthritis,
slipped epiphysis, tonsillitis, anaemia, hemiparesis, influenza,
fractured femur, otorrhoea, mouth sores, rhinitis, myxoedena,
mytonia dystroplasia and cholecystitis.