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

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Dagenham 1928

[Report of the Medical Officer of Health for Dagenham]

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53
The third day was again the most frequent on which removal
as effected. The duration of stay of the primary prior to
removal showed this time no influence in leading to secondary
cases, as is shown by the following figures, which represent
(a) the day of removal of primary cases, (b) the number of
primary cases without a secondary infection, and (c) the number
[cases where secondary infection occurred.
(a) (b) (c)
1st day 4 1
2nd „ 20 2
3rd „ 24 2
4th „ 22 1
5th ,, and over 22 2
home Treated Cases.
The same practice was continued ot supervision ot these
cases by the Health Visitor up to the sixth week. Disinfection
was carried out shortly after 28th day in most cases. 1 he
prevaling type of illness lias been very mild, and, of course,
the more clinically severe had preference of beds. In tew
casses was it necessary on clinical grounds to remove to hospital
a child who commenced home treatment. In 26 patients some
complications were noticed. Of these one was Pneumonia with
a fatal termination, 5 patients were subsequently removed on
account of complications or severity of the case, two suflering
from Otorrhaea, 1 gland, 1 septic throat, and 1 toxic case.
The following table gives a list ot complications occurring
in the remaining home treated cases.
Otorrhoea- 9 (in all but one, of only a few days duration).
Rheumatic pains—3 (all cleared up within 3 weeks).
Abscess in neck—2 (lasting a few days).
Heart trouble—3 (according to the Doctor all temporary).
Kidney trouble—1 (due to child being taken out oi bed to
witness a lirework display).
Cervical Adenitis—3 '(all in the third week but without
renal complications).
Deaths.
Hiere were 2 male deaths from Scarlet Fever, one due to
pneumonia, and the other to Mastoid complications.
Dick Test.
No children were submitted to the Dick test.