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

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Ealing 1932

[Report of the Medical Officer of Health for Ealing]

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6
Deaths.—Two cases of septic scarlet fever died, one an adult
male ten days after admission, and the other a boy of 10 years
two days after admission. Both were given large doses of scarlet
fever antitoxin, but without avail. One case, a boy of 5½ years,
developed measles within two days of admission and died seven
days later of broncho-pneumonia. Another boy of 5 years died
of scarlet fever and diphtheria. The case mortality from scarlet
fever was .3 per cent.
Duration of Stay.—The average duration of stay in hospital
of all the cases of scarlet fever was 34 days.
Diphtheria.—The number of cases admitted as diphtheria
from the two districts were 52 from Ealing and 62 from Brentford
and Chiswick, making a total of 114, six less than in the previous
year. Of this number, 21 were ultimately diagnosed as not suffering
from diphtheria. The final diagnoses in these cases were as follows :
Measles 1, Tonsilitis 13, Scarlet fever 2, Quinsy 1, Bronchitis
2, No apparent disease 2.
Three cases of diphtheria were found on admission to be suffering
also from scarlet fever.
There were 7 cases of laryngeal diphtheria. Three required
tracheotomy, and of these two died and one recovered.

The incidence of actual cases in age groups was as follows:—

1-5 yrs.5-10 yrs.10-15 yrs.15-25 yrs.25-45 yrs.Over 45 yrs.
2341121142

The following complications were observed among the cases:—

Palatal paresis6
Pharyngeal paresis2
Ocular paresis1
Facial paresis1
Cardiac involvement8
Nephritis1
Pneumonia2
Cervical adenitis1