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

View report page

Hendon 1938

[Report of the Medical Officer of Health for Hendon]

This page requires JavaScript

98
(b) The clinical particulars of those patients showing
a change of hæmolytic streptococcal type confirmed the
work of Allison and Brown, who found that the majority
of late complications occurring in multiple-bed wards
devoted to scarlet fever was associated with such a
change. It was also noted that when such a change
occurred it was usually observed after the second week
of hospitalisation, and frequently even later. In thirtyseven
patients in Blocks A and B a change of type was
observed, occurring in six between the fourteenth and
twenty-first day following admission, and in twenty-five
at or after the twenty-first day.
(c) Except in very few instances complications arising
early in the disease were not associated with a change
of hemolytic streptococcal type.

(d) Table 3.

Percentage of scarlet fever patients at different age-groups showing change of hæmolytic streptococcal type.

Age, in yearsNumber of patientsNumber of patients showing change of typePercentage of patients showing change of type
0—23133.0
2—417423.5
4—636719.4
6—832412.4
8—1031825.8
10—1215426.6
12—1413430.1
14—161119.0
16—18500.0
18—20300.0
20 and over2727.3

(In this table are included scarlet fever patients investigated
in both the. preliminary and the experimental
periods.)