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

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Croydon 1964

[Report of the Medical Officer of Health for Croydon]

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125
DETAILS OF CASES ADMITTED TO WADDON HOSPITAL
Gastro-enteritis:- 102 cases were admitted in the following age
groups: - Under one year - 47; 1-4 years - 36; 5 - 15 years - 2;
adults - 17. 13 were gravely ill, 44 moderately severe and 40
were mild cases. Except for two cases each of E. Coli 055 and
staphylococcus aureus and one case each of E. Coli 0111 and
E. Coli 026, no pathogens were isolated from faecal culture.
Associated illnesses were 6 cases of bronchitis, 5 cases of
anaemia, 2 cases each of otitis media and rhinitis and one case
of eczema, severe napkin rash, thrush, thrombosis, Parkinsonism,
and post auricular abscess. There were no deaths.
Measles: - The 43 cases of measles were due to an early start in
the current epidemic. No cases were admitted in the year up till
September. 3, 6, and 5 cases were admitted in September, October
and November respectively. During December the epidemic got
under way and 29 cases were admitted. The numbers in the
different age groups were:- under one year - 4 cases; 1-2
years - 9 cases; 2-4 years - 19 cases; 5-15 years - 11 cases;
adults nil. The following complications were present:- pneumonia
18 cases, bronchitis 5 cases, enteritis 3 cases, tonsillitis 3
cases and one case each of encephalitis, epistaxis, anaemia,
post-auricular fissure and blepharitis. There were no deaths.
Whooping Cough:- 36 cases were admitted in the following age
groups:- Under one year - 16; 1-2 years - 8 cases; 2-4 years
- 7; 5-15 years - 3; and adults 2 cases. 29 of the 36 patients
were admitted in the first seven months of the year. Complications
were present as follows:- bronchitis - 10 cases, pneumonia
- 9 cases, lobar collapse 2 cases, and one case each of emphysema
and subconjunctival haemorrhage. Associated conditions present
were anaemia 2, drug poisoning 2 and one case each of cerebral
spasticity and haemoglobinopathy.
Dysentery: - 34 cases, all of the Sonne type, were admitted.
There were no severely ill cases. They were in the following age
groups:- 0-1 years - 1; 1-4 years 16; 5-15 years 9; and
adults - 8 cases. They tended to occur in spasmodic outbreaks.
Thus in April there were 7 cases. In September 8 cases, and in
December, ll cases. 22 cases came from childrens' homes or other
communal dwellings, 6 cases from their own homes, 4 cases from
hospital and two cases from residential schools. Of the intestinal
antibiotics in common use, the dysentery bacilli were
resistant to tetracycline in 4 and streptomycin in 3 cases.
There were no old people admitted this year the oldest being 37
years.
Co-existing illnesses were bronchitis 2 cases and one case
each of anaemia and valvular heart disease.