Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for Willesden]
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The following table gives particulars of the conditions for which children were treated during
1934, the treatment carried out and the results of such treatment:—
Table No. 5.—Children under 5 Years under Treatment in Hospital during 1934.
Condition. | Brought forward. | Admitted during Year. | Total under Treatment. | Treatment Completed. | In Hospital at end of Year. | |||||
---|---|---|---|---|---|---|---|---|---|---|
Forms of Treatment | Results of Treatment. | |||||||||
Operative. | General. | Other Forms. * | Remedied. | Improved or Unchanged. | Died. | |||||
2 | 22 | 24 | - | 20 | - | 7 | 9 | 4 | 4 | |
- | 121 | 121 | 121 | - | - | 121 | - | - | 0 | |
2 | 143 | 145 | 121 | 20 | - | 128 | 9 | 4 | 4 |
Puerperal Fever.—During 1934, 9 cases of Puerperal Fever were notified as against 13 in
1933, 8 in 1932, 14 in 1931, 5 in 1930 and 6 in 1929. This gives a case rate of 3.3 per thousand
registered live births, as against 4.9 in 1933, 2.9 in 1932, 4.9 in 1931, 1.7 in 1930 and 2.21 in 1929.
The figure per 1,000 registered total births is 3.2 for 1934 against 4.7 for 1933.
Of the 9 notified cases 1 proved fatal. The other death appearing in the death table under
puerperal sepsis was notified as puerperal pyrexia.
Taking the 1 death occurring amongst the 9 cases of puerperal fever notified in Willesden,
this gives a case mortality of 11.1 per cent. as against 30.8 per cent. in 1933, 25 per cent. in 1932,
14.3 per cent. in 1931, 20 per cent. in 1930, 50 per cent. in 1929, and 33.4 per cent. in 1928.
The maternal mortality from sepsis for 1934 was 1.5 per thousand registered live births and
1.4 per thousand registered total births. The corresponding figures for 1933 were:—2.6 per thousand
registered live births and 2.5 per thousand registered total births.
The maternal mortality from all causes was 3.28 per thousand registered live births and 3.17
per thousand registered total births. The corresponding figures for 1933 were:—5.2 and 5.1
respectively.
In 2 of the 9 notified cases a private doctor was in attendance at the confinement at home.
In both instances the patient was subsequently removed to hospital and recovered. In 2 cases a
midwife attended the confinement at home. These patients were subsequently removed to hospital.
One died and one made a good recovery. Five cases were confined in hospital. These all recovered.
Table No . 6.—P uerperal Fever Cases , 1934. Home Circumstances.
Number of Cases. | Number of Rooms. | Number of occupants, including new-born baby. | ||
---|---|---|---|---|
Under 10 years. | Over 10 years. | Total. | ||
1 | 3 | 1 | 2 | 3 |
1 | 3 | 2 | 2 | 4 |
1 | 3 | 3 | 2 | 5 |
1 (fatal) | 3 | 2 | 3 | 5 |
5 | Occurred in Hospital. |
Puerperal Pyrexia.—30 cases were notified during the year. 2 of these 30 cases proved
fatal, 1 of the deaths being attributed to Puerperal Sepsis and 1 to Bilateral Broncho-Pneumonia.
During 1934 the Council have continued their efforts to deal effectively with the subject of
maternal mortality.
(1) Sterilised Accouchment Sets.—These sets are supplied in accordance with the arrangements
stated in my Annual Report for 1930, p. 10.
During 1934, 177 were supplied free, 17 at full cost and 1 at part cost.