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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44
The other diseases of this group treated consisted of three
patients suffering from Sonne Dysentery and one adult suffering
from enteritis. No case of typhoid or paratyphoid occurred.
In addition to the cases noted above two patients admitted
as suffering from typhoid fever were diagnosed as measles and
chicken-pox respectively while in the case of three patients admitted
for dysentery two were found to be suffering from intussusception
and one from pelvic tumour.
Meningitis and Meningococcal Infections. There were
6 admissions in this group. Of these four were clinical cases of
meningitis. In two cases meningococci were isolated from the
cerebro-spinal fluid, in the third a coliform organism, while in the
remaining case, though probably meningococcal, no organism was
isolated. In one case there was a co-existing haemorrhagic
nephritis. All four cases recovered without sequelae.
There was one fatal case of meningococcal septicaemia. This
was a boy of 9 years of age admitted on the eighth day of disease
when suffering from advanced heart failure. Complications present
'included pericarditis, pneumonia, pleurisy and focal lesions of the
brain and meninges. Treatment resulted in a temporary improvement
but heart failure recurred, and proved fatal. The remaining
patient of this group, a child of 4 years, was admitted in a moribund
condition and died within an hour of admission. The presence of
meningitis was confirmed by post-mortem examination.
One case of each of the following diseases was also admitted
as suffering from cerebrospinal meningitis, Lobar pneumonia,
Broncho-pneumonia, Acute Bronchitis, Pleurisy, Tonsillitis, Influenza,
Toxic Erythema and Sunstroke.
Erysipelas. The six cases of erysipelas, mostly facial, all
responded rapidly to treatment and do not merit special comment.
Chickenpox. The five cases of chickenpox listed are in
addition to those already mentioned as associated with other
infections. They were admitted either because other conditions
requiring hospital treatment were present or suspected or because
of lack of facilities for home nursing.
Mumps. Two admissions for mumps were uncomplicated.
The remaining two patients were suffering on admission from
threatened abortion and acute appendicitis respectively.
Acute Poliomyelitis. Despite the fact that this disease was
epidemic in other parts of the County only two cases were admitted.
One of these was a mild type with minimum paralysis. In the other
patient paralysis was extensive including partial respiratory
paralysis. Unusual features were a normal cerebro-spinal fluid