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

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East Ham 1937

[Report of the Medical Officer of Health for East Ham]

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73
An investigation into the number of infecting cases discharged
from Hospital gave the following result:—
289 cases discharged yielded 7 infecting cases, or 2.4
per cent.
The number of return cases for this series was 11, or 3.7
per cent.
Taking the country as a whole, infecting cases vary between 1.0
and 7.0 per cent., so that the above figures are well within normal
limits, and are probably higher than the normal for the Hospital.
As above mentioned, there were no deaths from scarlet fever
in the Hospital for the third year in succession.
Of a series of 240 cases treated in the open wards with anti
scarlatinal serum:—
87.5% were discharged in four weeks;
3.4% were discharged in five weeks ; and
9.1% were discharged in five to nine weeks.

Complications for this group totalled 30 cases, or 12.5 per cent., and were made up as follows:—

Otorrhoea2.5%
Rhinorrhoea1.2%
Adenitis2.4%
Albuminuria0.8%
Endocarditis0.9%
Other complications4.7%

Under "other complications" are included septic fingers, blepharitis,
and other conditions not directly due to scarlet fever. In
the complications given above, only those are included which
necessitated a stay in Hospital on the part of the patient of more
than four weeks.

The age incidence of the patients was as follows:—

0—55—1010—1515 +Total
811475652336

Bronchopneumonia.
Twenty-one cases were admitted during the year. Of this
number, two followed measles, five followed whooping-cough,
and 14 were unconnected with either disease. Two deaths occurred
giving a mortality rate of 9.5 per cent. In one case the patient
was kept in an oxygen tent for three days but, although some