Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for Barnes]
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52
Among the 67 cases the following complications occurred:—
Secondary throat, 1; cervical adenitis, 7; parotid abscess, 1;
rhinorrhœa, 7; otorrhcea, 6; mastoiditis, 1; mastoid abscess, 1;
toxic heart, 1.
Detention in hospital was not continued beyond six weeks in 48
of the cases; the remaining 19 cases were detained in hospital for
varying periods of longer duration according to the nature of the
complication which had occurred.
No cross-infection occurred in either of the Scarlet Fever Blocks.
There were three "return cases" during the year, the onset of
the "return case" being 1 day, 3 days and 21 days respectively after
the date of discharge of the infecting case. In all three instances
there were no signs indicating infectiousness in the infecting patients
at the time of their discharge; in the instance in which the "return
case "arose 21 days after the infecting patient's discharge a rhinorrhoea
had recurred a fortnight after he was discharged from hospital.
Administration.
(A) Cross-Infection.
During 1937 the following were instances in which risk of crossinfection
had to be guarded against:—
Cases of mistaken diagnosis :—
Admitted as Scarlet Fever—suffering from Rubella . . 1
,, ,, ,, ,, ,, ,, Chicken-pox 1
No case of cross-infection, arising either from these cases or from
the other patients in the hospital, occurred during the year.
The Cubicle Block has continued to be of the utmost service
in avoiding cross-infection. The number of patients under treatment
in this Block during 1937 was 45.
The nature of the 45 cases admitted to the Cubicle Block during the year, excluding staff, is given below :—
Scarlet Fever (complicated or doubtful) | 23 | |||
Diphtheria (complicated or doubtful) | 1 | |||
Enteric fever | 1 | |||
Measles | 6 | |||
Chicken-pox | 1 | |||
Mumps | 1 | |||
Erysipelas | 3 | |||
Rubella | sent in as Scarlet Fever | 1 | 9 | |
Chicken-pox | 1 | |||
Septic Throat | sent in as Diphtheria | 4 | ||
Quinsy | 1 | |||
Stomatitis | 1 | |||
Streptococcal Rhinitis | 1 Total | 45 |