London's Pulse: Medical Officer of Health reports 1848-1972
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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
East Ham 1939
[Report of the Medical Officer of Health for East Ham]
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DIPHTHERIA.
Number of notified cases 87
Revision of diagnosis 17
Other notified diseases proving to be
Diphtheria 2
Final Number of Diphtheria cases 72
Table Showing Types of Diphtheria and Mortality.
| Type. | Total | Died. | Mortality Rate. |
|---|---|---|---|
| Facia1 | 52 | 1 | 1.92% |
| Facial and Nasal | 12 | 3 | 25% |
| Nasal | 7 | 1 | 14.28% |
| Facial and Laryngeal | 1 | - | - |
| TOTALS: | 72 | 5 | 6.94% |
Table showing Serum Adminstration.
| 4,000 | , 8,000 | 16,000 | 24,000 | 31,000 | 48,000 | TOTAL |
| 2 | 5 | 8 | 15 | 15 | 27 | 72 |
The Serum Reaction Rate: 8.3%
The Total Complication Rate was 23.61%
SCARLET FEVER.
Number of notified cases 175
Revision of diagnosis 9
Other notified diseases proving to be
Scarlet Fever 4
Final number of Scarlet Fever cases 170
Complications:
| Adenitis | 10 |
| Tonsillitis | 4 |
| Otorrhoea | 7 |
| Rhinitis | 4 |
| Endocarditis | 3 |
| Albuminuria | 3 |
| Broncho Pneumonia | 1 |
| Minor Septic conditions. | 7 |
| Total: | 39 |
For the fifth successive year there were no deaths from Scarlet fever.
Serum and Prontosil Therapy.
Number of cases receiving Serum alone 95
" '' '' '' '' & Prpntosil 21
''Prontosil alone. 48
'' " " no specific therapy. 6
The Serum Reaction Rate was 19.28%
OPERATIONS.
Exploration of Chest 3
Mastoidectomy 1
Incision of Abscesse 6
Minor Operations 4
BACTEROLOGICAL EXAMINATIONS.
1397 swabs were examined for Diphtheria Bacci1li and of this number 157 were
found to be positive.
LABORATORY WORK.
Bacteriological Examination of Faeces 45
Urine 49
Blood Widal Tests and other Agglutination reactions. 17
Virulence Tests for Diphtheria Baccilli 1
DIPHTHERIA.IMMUNISATION.
Patients Immunised:-
37
11.