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

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Leyton 1937

[Report of the Medical Officer of Health for Leyton]

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138
Hospital in a modern well-equipped motor ambulance. I have
discussed this matter with several obstetricians, and I find
that a considerable diversity of opinion exists regarding the
relative advantages of transport to hospital and "emergency
units."
Suggestion.
It is conceivable that a rare emergency may occur in
which a patient's condition is too grave to justify removal to
hospital; and, in order to meet such a contingency, it would
be advisable to have an arrangement with Queen Mary's
Hospital for an "emergency unit" to be available at short
notice.
Puerperal Fever.
Under the provisions of the Public Health (Notification of
Puerperal Fever and Puerperal Pyrexia) Regulations 1926, Puerperal
Fever and Puerperal Pyrexia were scheduled as notifiable
infectious diseases. Under the Public Health Act, 1936, which
came into operation on 1st October, 1937, the term Puerperal
Fever has been omitted from the definition of notifiable diseases
in Section 343. The effect of the omission of Puerperal Fever is
that Puerperal Fever ceased to have effect outside the County of
London and that the obligation to notify cases of Puerperal Pyrexia
included the obligation to notify conditions notifiable as Puerperal
Fever.
No cases of Puerperal Fever were notified during the nine months
that Puerperal Fever remained notifiable.
Puerperal Pyrexia.

Twelve cases of Puerperal Pyrexia were notified during the year. The causes of pyrexia were considered to be :—

Puerperal septicaemia following abortion1 (died)
Puerperal pyaemia following abortion1 (died)
Pyelitis3
Acute Mastitis3
Endometritis2
Pleurisy1
Influenza1