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II. Hospital Cases.—492.
(a) No. of infecting cases giving rise to return cases not longer than
28 days after discharge 19
,, return cases they gave rise to 25
,, infecting cases per cent of total hospital cases 3-9
,, return cases per cent. of total hospital cases 5-1
(b) No. of infecting cases giving rise to return cases more than 28
days after discharge 6
,, return cases they gave rise to 6
,, of infecting cases per cent, of total hospital cases 1-2
,, return cases per cent, of total hospital cases 1-2
Small Pox.—No cases of Small Pox were notified during 1936.
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 1936, as against 10 in 1935, 7 in 1934 and 13
in 1933.
Nine cases were removed to hospital—7 to the Willesden Municipal Hospital and 2 to the
Central Middlesex County Hospital. One case was nursed at home. Of the 7 cases removed to the
Willesden Municipal Hospital, 4 were diagnosed as Typhoid Fever, 2 as Gastro-Enteritis and 1 as
Gastro Enteritis Debility and Senility. This last was transferred to the Central Middlesex County
Hospital. The other 6 were discharged well.
No death was recorded from Typhoid Fever in 1936.
Malaria.—One case of Malaria was notified during 1936. Malaria was induced in hospital
as part of the treatment for general paralysis.
Infectious Diseases of the Nervous System—Cerebro-Spinal Meningitis, Poliomyelitis,
Encephalitis Lethargica and Acute Polio-Encephalitis.—14 cases of these diseases were notified
in 1936 and 2 of them proved fatal giving a fatality rate of 14 per cent, of notified cases. The 2 deaths
were certified as due to Cerebro-Spinal 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.—20 cases were notified during 1936. 16 occurred in children in the Central
Middlesex County Hospital, 15 in January and February, and 1 in November. This last was transferred
to the Willesden Municipal Hospital and diagnosed as gastro-enteritis. All recovered. Of the other
4 cases, 1 occurred in a child admitted to hospital with pneumonia, 1 in a child admitted to hospital
with enlarged glands in the neck and 2 occurred at home. Of these two, 1 was admitted to a London
Hospital and 1 to the Willesden Municipal Hospital where it was diagnosed as suffering from gastroenteritis.
All recovered.
Whooping Cough is a notifiable disease in Willesden. 743 cases were notified during the
year but a total of 1,189 cases coming to their knowledge were visited by the Health Visitors. There
were 12 deaths from Whooping Cough, 11 occurring in children under 5 years of age and 1 in a child
between 5 and 10 years of age. 11 of these 12 deaths occurred in institutions.
%
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 1936, 2,446 cases of measles which is not notifiable in Willesden were visited by the
Health Visitors. There were 22 deaths from Measles, 19 occurring in children under 5 years of age and
3 in children between 5 and 15 years of age. 18 of these 22 deaths occurred in institutions.
%
MOTHERS AND CHILDREN UNDER FIVE YEARS.
Municipal Centres.—At the Municipal Centres, expectant mothers attended the medical
consultations and treatment Clinics on 11,413 occasions ; nursing mothers 27,930, and children under 5,
56,895, making a total of 96,238 attendances.
Out of the total number of 2,835 children born alive during the year, 1,781 or 63 per cent,
subsequently attended the Municipal Welfare Centres. Altogether, however, 2,009 children under
1 year of age attended the Municipal Centres for the first time during the year, excluding transfers
from other districts. This represents 71 per cent, of the 2,823 notified live births belonging to
Willesden, and 71 per cent, of the 2,835 registered live births belonging to Willesden. 373 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.