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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126
Scarlet Fever: - 30 patients were admitted in the following age
groups:- 0 - 4 years - 5; 5 - 15 years - 24; and one case 16
years of age. Of the 24 five to fifteen year olds, 16 were 5 or
6 years of age. Thus the preponderence of cases were of the
early school age. Months of greatest prevalence were March,
October and November during which 20 of the 30 cases were
admitted. Complications were bronchitis - 2 cases and one case
each of boils, sores on nostrils, cracked lips and transient
albuminuria.
Chicken-pox:- 18 cases were admitted in the following age
groups:- 0-4 years - 7; 5-15 years - 4; adults - 7 cases. 13
of the patients were admitted in the first 3 months of the year.
Most of the adults were members of the hospital nursing staff.
Complications consisted of two cases of bronchitis and conjunctivitis
and one case each of tonsillitis, stomatitis,
adenitis and tetany, co-existing illnesses consisted of one case
each of spastic paralysis, tuberculosis and foreign body in the
eye.
Infective Hepatitis:- Of the 17 cases admitted 3 were severe.
Two of the severe cases, both male adults, had a long relapsing
jaundice and were in hospital 82 and 103 days respectively. They
were treated with corticosteroids. The patient who was in
hospital 82 days had still slight jaundice on discharge from
hospital. The third severe case, a woman of 30 years, became
comatose the day after admission and died within four days.
Pneumonia: - 15 cases were admitted in the following age groups:
0-1 year - 7; 1-4 years - l; 5-15 years - 2; and adults 5
cases. There were four deaths at the ages of 5 weeks, 10 months,
1 year and 75 years respectively. The 5 weeks old child bad
congenital coarctation of the aorta, the ten months old child
was a inongol, the 1 year old was admitted in a comatose condition
and died the same day and the 75 year old man had
hyperpiesia and heart block.
Other Infections:- The meningitis cases consisted of three
patients with pyogenic meningitis of uncertain origin, two
patients with pneumococcal meningitis, two patients with aseptic
meningitis, one patient with meningococcal meningitis and one
patient with haemophilis influenza meningitis. The three cases
of uncertain pyogenic origin had all had antibiotics before
admission. The haemophilis influenza meningitis got paralysis of
an arm which recovered. The other patients also made a good
recovery. Of the eight salmonella infections, four were salmonella
enteritidis isolated in August from members of the same family.
Two salmonella Brandenberg infections were isolated in June and
two salmonella typhi-murium infections in September.