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

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Brentford and Chiswick 1945

[Report of the Medical Officer of Health for Brentford and Chiswick]

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pneumonia and convulsions, two cases with chicken pox. Complications
contracted after admission included one gastro-enteritis,
one furunculosis and one congestive heart failure in an infant of one
year who ultimately recovered. There were 2 deaths, one of the
infant of six months admitted with convulsions and pneumonia
complicating whooping cough who lived only a few hours. The
other death occurred in a child of one year also admitted with
pneumonia. He survived for 24 days after admission.
CHICKEN POX. There were 3 cases of chicken pox
admitted in addition to a case of incomplete abortion complicated
by chicken pox. In one case the diagnosis was not confirmed but
impetigo and furunculosis of the ear were present. All the cases
made good progress.
MENINGITIS. There were 5 cases admitted as Meningitis.
Meningococci were isolated in one case only, who was severely
ill and developed a partial nerve deafness. In 2 cases there was
chronic otitis media and mastoid operations were performed.
Complete recovery occurred in both cases. One case proved to
be a subarachnoid haemorrhage and developed a third nerve palsy.
There were no deaths.
POLIOMYELITIS. One case, a child of three years from
Brentford and Chiswick,, was admitted with an extensive paralytic
lesion involving all four limbs and her respiratory muscles. She
was nursed in a Both's respirator for eleven weeks and gradually
made sufficient progress to be transferred to the Royal National
Orthopaedic Hospital.
DIARRHÅ’AL DISEASES'. There was one case of typhoid
admitted, a woman of 71 years from whose faeces B. Typhosus
was cultured after an attack of so called " gastric flu." She had
no clinical signs on admission and was bacteriologically free from
infection in 19 days. One case of paratyphoid, a sailor, was
admitted but proved to be a relapse of malaria. A soldier with
acute diarrhoea was sent in for investigation but he had no further
symptoms and no pathogens were found.
Eight cases of Sonne dysentery were admitted, but no
evidence of disease was found in three of them and the other five
recovered satisfactorily. Three infants were admitted with
gastro-enteritis. 'One was moribund on admission and died in
16 hours. A second was a case of feeding difficulty which was
adjusted, and the third had a primary bronchitis which responded
well to treatment.
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