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

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Southall 1943

[Report of the Medical Officer of Health for Southall]

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REPORT ON THE BOROUGH ISOLATION HOSPITAL.
During the year 313 patients were admitted to the Isolation Hospital as compared
with 146 in 1942. Of these, 255 were sent in as scarlatina (94 in 1942) and 27 as diphtheria
(24 in 1942), 16 as measles, and 1 as erysipelas, 1 as rubella, and 8 as chickenpox. Of the
cases sent in as scarlatina, 4 were unconfirmed. Similarly, of the cases sent in as diphtheria
or suspected diphtheria, 10 were unconfirmed.
For details of cases during the year, and dealt with each month of the year, see
Appendix, Tables XXX and XXXI.
Scarlatina.
Of the 255 cases admitted 252 were finally diagnosed, and the following table shows
the incidence in age groups of the 252 cases of scarlatina which were nursed at the hospital:—

Table K.

Age (years)0-55-1515-2525-3535 +
Number771621021

Three minor operations were performed, two for abscess and one for removal of
toe-nail.
One case of scarlatina developed mumps 25 days after admission—no secondary
case. One case was admitted suffering from chickenpox in addition—one secondary case.
Three cases developed rubella.

Complications of the cases of scarlatina were:—

Cervical adenitis11Impetigo2
Rhinitis13Staph, dermatitis1
Nephritis1Styes1
Secondary attacks4Preauricular abscess1
Conjunctivitis2Sub-maxilliary abscess1
Septic sores5Scabies and impetigo3
Septic finger8Scabies3
Rheumatism2Stomatitis1
Bronchitis10Chorea1
Cardiac irregularity4Herpes zostin3
Boils1Septicaemia1
Pneumonia1Anaemia1
Otorrhoea18Tonsilitis3

Diphtheria.
Twenty-seven cases notified as diphtheria were admitted to the hospital. Seventeen
of these were confirmed as diphtheria.
The following table shows the incidence of the cases in age groups:—

Table L.

Age (years)0-55-1515-2525-3535 +
Number1961