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

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Ealing 1919

[Report of the Medical Officer of Health for Ealing]

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44
Cerebro-Spinal Fever.
This boy developed symptoms on the 13th October,
later becoming unconscious. The medical man in
attendance performed lumbar puncture on the 29t
October, but the fluid gave no meningococci or other
bacteria, but mononuclear and polymorphonuclear
leucocytes were present. As a result of a discussion
of the case with the medical attendant the boy was
sent to the Isolation Hospital when he was found to be
semi-conscious. He had marked retraction of the
head, great wasting of the muscles, his knees being
drawn up and his whole attitude being typical of a
case of cerebro-spinal fever. This boy died- suddenly
of heart failure without any warning on the 12th
November just when he was beginning to regain consciousness.
As this boy's parents kept a shop connected with
the house it is just possible that the third case may
have been infected from him through the intermediary
of the parents. The third case developed on the 24th
October and was notified on the 1st November after
fluid obtained by lumbar puncture had shown the presence
of meningococci. This child never lost consciousness
and recovered with only a slight squint of
one eye as a permanent mark of the illness.
Tuberculosis.
There were 74 deaths from all forms of Tuberculosis,
which give a death-rate of 1.01 per 1,000 of population.
Of these deaths 55 were from Phthisis or Pulmonary
Tubercolusis, 9 from Tuberculosis Meningitis and 10
from other forms of Tuberculosis. The Phthisis deathrate
for the year was .75 per 1,000 of population.