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

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Ilford 1931

[Report of the Medical Officer of Health for Ilford]

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78
All the patients admitted with Scarlet Fever are treated with
Anti-Scarlatinal Serum. This enables them to be discharged, if
uncomplicated, after a period of three weeks from admission.
All the Scarlet Fever patients are Dick tested on the eleventh
day after admission, and at weekly intervals afterwards. All those
found Dick positive are isolated in the cubicle and other separate
wards.
Enteric Fever.—Two cases were admitted. Both gave a positive
Widal Test for B. Paratyphosus B. Both were mild cases and made
satisfactory recoveries without any complications.
Puerperal Fever.—Ten cases notified as Puerperal Fever were
admitted. Three of these patients died, the causes of death being
(1) Septicaemia, General Peritonitis and Broncho Pneumonia;
(2) Septicaemia; (3) Septic Pneumonia. All three were haemolytic
streptococcal infections. Of the remaining seven, two had Parametritis,
and five Sapraemia (one with a B. Coli infection of the
kidney in addition). Four of the seven cases were caused by a
haemolytic streptococcal infection of a Scarlatinal type.
Puerperal Pyrexia.— Seven cases notified as Puerperal Pyrexia
were admitted. One case proved to be Puerperal Fever with
haemolytic streptococcal infection, one had sapraemia, two mastitis,
one a coliform infection, one Influenza, and one cracked nipples,
but also a haemolytic streptococcal infection of the cervix.
All the cases of Puerperal Pyrexia made a good recovery.
Diphtheria.— The 174 cases admitted to hospital were distributed
among the following age groups:—-
Under 1 Year. 1—5. 5—15. 15—25. 25—35. 35—45. Over 45.
1 25 89 32 12 9 6
Six of the above cases proved to be non-virulent K.L.B.
carriers, 4 nasal carriers of virulent K.L.B.. and one was suffering
from Tonsilitis (non-diphtheritic).