View report page

8
(b) No. of infecting cases giving rise to return cases more than 28
days after discharge 9
„ return cases they gave rise to 10
„ of infecting cases per cent. of total hospital cases 2.1
„ return cases per cent. of total hospital cases 2.3
Small Pox.—No cases of Small Pox were notified during 1935.
No vaccinations were performed by the Medical Officer of Health under the Public Health
(Small Pox Prevention) Regulations, 1917.
Typhoid Fever.—Ten cases were notified during 1935 as against 7 in 1934 and 13 in 1933.
All 10 cases notified were removed to hospital—8 to the Willesden Municipal Hospital and
2 to other hospitals. Of the 8 cases removed to the Willesden Municipal Hospital 6 were diagnosed
as Paratyphoid Fever, 1 as Lobar Pneumonia, and 1 as Tonsillitis. All recovered. Of the two
cases removed to other hospitals one was diagnosed as a case of Typhoid Fever and one as a case of
Paratyphoid Fever.
No death was recorded from Typhoid Fever in 1935.
Malaria.—One case of Malaria was notified during 1935. This patient had lived in Siam for
many years and contracted Malaria there. He was admitted to the hospital for tropical diseases.
Infectious Diseases of the Nervous System—Cerebro-Spinal Meningitis, Poliomyelitis,
Encephalitis Lethargica and Acute Polio-Encephalitis.—16 cases of these diseases were notified
in 1935 and 7 of them proved fatal, giving a fatality rate of 44 per cent. of notified cases. In one of
the fatal cases death was attributed to Otitis Media. The 6 other deaths were certified as due to
Cerebro Spinal Fever—3 of these 6 occurred in non Willesden residents but the disease was diagnosed
and notified after admission to an institution in Willesden. In addition there was one death certified
as due to acute Anterior Poliomyelitis, in which the case had been notified as Scarlet Fever.
Since the autumn of 1931, in accordance with the request of the Ministry of Health, reports
have been sent to the Ministry in cases of Cerebro-Spinal Fever, giving information desired by the
Ministry as to the use and results of anti-meningococcus serum treatment.
Dysentery.—6 cases were notified during 1935. 5 were notified in September and 1 in October.
All patients belonged to the Kilburn area but one patient aged 3 years was resident in a Mental
Hospital outside Willesden. The other 5 patients were 2 brothers and a sister aged 3, 12 and 5 years
respectively, a boy aged 6 years and an adult aged 38 years. These 5 cases were all admitted to the
Willesden Municipal Hospital and recovered.
Whooping Cough is a notifiable disease in Willesden. 643 cases were notified during the year,
but a total of 1,232 cases coming to their knowledge were visited by the Health Visitors. There were
5 deaths from Whooping Cough all occurring in children under 5 years of age.
Non-Notifiable Acute Infectious Diseases are reported from the Public Elementary
Schools and are found by the Health Visitors during the course of home visitation.
During 1935, 362 cases of measles, which is not notifiable in Willesden, were visited by the
Health Visitors. There was 1 death from Measles occurring in a patient aged between 15 and 20
years.
MOTHERS AND CHILDREN UNDER FIVE YEARS.
Municipal Centres.—At the Municipal Centres, expectant mothers attended the medical
consultations and treatment Clinics on 10,012 occasions; nursing mothers 26,726, and children under 5,
55,483, making a total of 92,221 attendances.
Out of the total number of 2,848 children born alive during the year, 1,723 or 60.5 per cent.
subsequently attended the Municipal Welfare Centres. Altogether, however, 1,939 children under
1 year of age attended the Municipal Centres for the first time during the year, excluding transfers
from other districts. This represents 69.6 per cent. of the 2,787 notified live births belonging to
Willesden, and 68.1 per cent. of the 2,848 registered live births belonging to Willesden. 557 children
between the ages of 1 and 5 years attended the Municipal Centres for the first time during the year,
excluding transfers from other districts.
The number of live births occurring amongst expectant mothers who attended the AnteNatal
Clinics was 1,189; 77 per cent. of these mothers with their babies subsequently attended
the Welfare Centres.