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

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Walthamstow 1934

[Report of the Medical Officer of Health for Walthamstow]

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68
positive to K. L. B., 3; observation cases possibly developing morbilli
(unconfirmed), 2; observation case possibly developing rubella
(unconfirmed), 1; Whooping Cough, 1; Mastoiditis, 1; Acute
Rheumatism, 1; Measles, 2; Septic Pneumonia, 1; Septic Soarlet
Fever, 1; Vaginal discharge, 1.
MEASLES.
On the diphtheria block 15 patients contracted measles within
the inoubation period after admission to the ward; that is, infection
had taken place before entering hospital. One of these
developed severe broncho-pneumonia. Ten were inoculated
prophylactically with convalescent measles serum. All ten
developed mild measles without complications.
On the scarlet fever block two patients developed measles
within the inoubation period. Fifteen patients were prophylactically
inoculated. Eight patients developed very mild measles, the
remaining seven being completely protected.
The convalescent serum was found to be much more effective
in aborting or preventing measles in children who were at the same
time suffering from scarlet fever, than in children suffering from
diphtheria, assuming that there was no exposure to infection from
a mild, unsuspected case occurring before the first case actually
found in the ward.
A total of forty-one cases of measles, mostly with bronchopneumonia,
were admitted. Two unusual complications arose,
one child proving on examination to be a typical case of lobar
pneumonia. Another developed enteritis which had not reoovered
after several weeks and was transferred to Whipps Cross Hospital.
In another case severe orbital cellulitis supervened. The outcome
following operation was complete recovery. This patient was
in a very weak condition, diphtheria and measles running their
course concurrently.
Two oases of acute mastoiditis arose. One, which was transferred
to Whipps Cross Hospital, and another arose in a child after
she had left the Sanatorium. This child had originally been very
ill.
Staff.— Members of the Staff were admitted to hospital beds
suffering from the following complaints.—Coryza, 3; Acute
Infective Jaundice, 1; Influenza, 2; Simple Tonsillitis, 4; Contused
Hip, 1; Cystitis, 1; Carbuncle of Breast, 1; Whooping Cough, 1;
Synovitis, 1; Double Quinsies, 1.