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

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Ealing 1946

[Report of the Medical Officer of Health for Ealing]

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41
Diphtheria. There were 13 cases of diphtheria admitted :
11 from Ealing and 2 from Brentford & Chiswick. The age
distribution of these was as follows:
Under 5 5-10 11-15 16-20 21-25 26-30
0 4 3 2-1 0
31-40 Over 41
2 0
This low incidence of diphtheria shows a well marked decline
on that of previous years, which is part of the continuous reduction
in the incidence of the disease since the introduction of diphtheria •
immunization. All cases were mild but two patients who
persistently remained carriers had to have their tonsils removed.
The average period in hospital for all cases was 46 days.

In addition to the above cases three admissions were diagnosed as diphtheria carriers. The following cases were admitted as suffering from diphtheria and the diagnosis altered as shown.

Tonsillitis18
Vincent's Angina3
Cervical Adenitis1
Bronchitis1
Laryngitis1
Peritonsillar Abscess1
Infectious Mononucleosis1
Nasopharyngitis1
Streptococcal Sore Throat3
Ulcerative Stomatitis1

Scarlet Fever.—Scarlet Fever admissions numbered .126
(87 from Ealing and 39 from Brentford & Chiswick).
The age distribution of the cases was as follows :
Under 1 1-2 3-5 6-10 11-15 16-25
I . 7 33 57 20 4
26-45 Over 45
4 0

The following complications were encountered either on admission or during the course of treatment.

Otitis Media9 cases
Cervical Adentitis10 „
Rheumatism3 „
Paronychia3 „
Sinusitis2 „
Secondary Tonsillitis2 „
Bronchitis2 „
Furunculosis2 „
Myocarditis1 case
Appendicitis1 „
Rhinitis1 „
Herpes Zoster1„
Glandular Abscess1 „
Impetigo1 „
Conjunctivitis1 „
Streptococcal Fissure1 „