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

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Dagenham 1933

[Report of the Medical Officer of Health for Dagenham]

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63
Ophthalmia Neonatorum.
Notified.
Treated at
home.
Treated in
hospital.
Vision Unimpaired
Vision
Impaired.
Total
blindness
Deaths.
11
9
2
11
—
—
—
There were 76 eases in which a medical aid notice was sent
by a midwife to a medical practitioner on account of some eye
condition occurring in an infant . In 11 of these the doctor notified
the case as one of ophthalmia neonatorum. No case of ophthalmia
occurred where the doctor had been in attendance at birth.
All cases are investigated by the Health Visitors on receipt
of information, and are visited regularly until the eyes are clear.
Most cases cleared up in a few days, though one case was
not completely clear for two months from the onset.
One child was treated at home under the arrangement with
the local District Nursing Association. Another child was
admitted to Rush Green Hospital and another, with her mother,
was admitted to St. Margaret's Hospital.
Pemphigus.
During the year, 9 notifications of pemphigus were received.
They occurred irregularly throughout the year, none being
associated, all occurring in the practice of different attendants.
All cases were clinically mild, and none required hospital treatment.
Maternal Mortality.
There were 5 deaths registered as due to or associated with
pregnancy, of which two were due to sepsis, giving a maternal
mortality rate for sepsis of 1.12, and for other accidents and
diseases of pregnancy and parturition a rate of 1.68, being a total
rate of 2.80. Per 1,000 live births, the rates for England and
Wales were 1.79, 2.63 and 4.42. Two other deaths were indirectly
associated with pregnancy.
Of the fatal cases of septicaemia, one followed a neglected
abortion. The other was a primigravida who had a normal
confinement. The earliest symptoms were the absence of breast