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
Brentford and Chiswick 1937
[Report of the Medical Officer of Health for Brentford and Chiswick]
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Scarlet Fever.—Of the 392 cases admitted as scarlet fever
140 were from Brentford and Chiswick and 252 were from Ealing.
Of this total 16 were found not to be suffering from the disease
and were ultimately diagnosed as follows:—
Tonsillitis 6, chicken pox 1, diphtheria 1, gastritis 1,
urticaria 1, teething rash 1, common cold 1, bronchitis 1,
measles 1, rubella 1, no apparent disease 1.
Four cases of scarlet fever were found on admission to be suffering
also from a second disease, as follows:—chicken pox 2, measles 1,
mumps 1.
The incidence of the actual cases of scarlet fever in the various age-groups was as follows:—
| 1-5 yrs. | 5-15 yrs. | 15-25 yrs. | 25-35 yrs. | 35-45 yrs. | over 45 yrs. |
|---|---|---|---|---|---|
| 69 | 260 | 23 | 13 | 9 | 2 |
The complications observed among the cases were as follows:—
| Otitis Media and Otorrhoea | 36 |
| Mastoiditis | 3 |
| Cervical adenitis | 44 |
| Rhinitis and rhinorrhoea | 55 |
| Post nasal discharge | 3 |
| Arthritis and rheumatism | 5 |
| Nephritis and albuminuria | 11 |
| Bronchitis | 3 |
| Tonsillitis | 4 |
| Quinsy | 2 |
| Pluerisy | 3 |
| Pericarditis | 2 |
| Septic fingers | 3 |
| Second attack of Scarlet Fever | 11 |
| Empyema | 1 |
| Frontal sinusitis | 1 |
| Cardiac irregularity | 3 |
| Vaginal discharge | 2 |
| Septic sores | 2 |
Return cases.—Of the 426 cases discharged during the year
eight gave rise to "return" cases of scarlet fever. This gives a
low return case rate of 1.87 per cent.