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

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Brentford and Chiswick 1946

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

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The other diseases of this group treated consisted of three
patients suffering from Sonne Dysentery and one adult suffering
from enteritis. No case of typhoid or paratyphoid occurred.
In addition to the cases noted above two patients admitted
as suffering from typhoid fever were diagnosed as measles and
chicken-pox respectively, while in the case of three patients admitted
for dysentery, two were found to be suffering from intussusception
and one from pelvic tumour.
MENINGITIS AND MENINGOCOCCAL INFECTIONS.—
There were 6 admissions in this group. Of these, four were
clinical cases of meningitis. In two cases meningococci were
isolated from the cerebro-spinal fluid, in the third a coliform
organism, while in the remaining case, though probably meningococcal,
no organism was isolated. In one case there was a
co-existing haemorrhagic nephritis. All four cases recovered
without sequelae.
There was one fatal case of meningococcal septicaemia. This
was a boy 9 years of age admitted on the eighth day of disease
when suffering from advanced heart failure. Complications
present included pericarditis, pneumonia, pleurisy and focal lesions
of the brain and meninges. Treatment resulted in a temporary
improvement, but heart failure recurred and proved fatal. The
remaining patient of this group, a child of 4 years, was admitted
in a moribund condition and died within an hour of admission. The
presence of meningitis was confirmed by post-mortem examination.
One case of each of the following diseases was also admitted
as suffering from cerebro-spinal meningitis : Lobar pneumonia,
Broncho-pneumonia, Acute Bronchitis, Pleurisy, Tonsillitis,
Influenza, Toxic Erythema and Sunstroke.
ERYSIPELAS.—The six cases of erysipelas, mostly facial,
all responded rapidly to treatment and do not merit special
comment.
CHICKEN-POX.—The five cases of chicken-pox listed are in
addition to those already mentioned as associated with other
infections. They were admitted either because other conditions
requiring hospital treatment were present or suspected, or because
of lack of facilities for home nursing.
MUMPS.—Two admissions for mumps were uncomplicated.
The remaining two patients were suffering on admission from
threatened abortion and acute appendicitis respectively.
ACUTE POLIOMYELITIS.—Despite the fact that this
disease was epidemic in other parts of the County, only two cases
were admitted. One of these was a mild case with minimum
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