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 West Ham]
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In 73 cases the larynx and trachea were involved. 38 of
these recovered without operation. Tracheotomy was performed
on 35 cases, and of these three were intubated later
owing to difficulty in getting them to go without their
tracheotomy tube. Eight deaths occurred among the tracheotomy
cases, giving a fatality rate of 22.8 per cent. of the cases
operated on. The fatality rate of all the cases admitted was
3.4 per cent.
Typhoid Fever.—18 cases, notified as Typhoid Fever, were
admitted during the year. Eight of these proved not to be
suffering from the disease. Of the ten true cases, five occurrcd
in one family. The type of disease was, on the average, not
very severe, and all the cases recovered. The eight cases which
were wrongly diagnosed are shown in the Table under the
column of " Other Diseases They were found to be suffering
from the following diseases: —
Enteritis 5 cases
*Ulcerative Colitis 1 case.
*Miliary Tuberculosis 1 ,,
*Ulcerative Endocarditis 1 ,,
* These cases proved fatal.
Measles.—33 cases were under treatment during the year.
The type of disease was mild in the majority of cases and all
recovered. Towards the end of the year an epidemic of the
disease set in, and the number of admissions began to rise
rapidly; also the type was becoming more severe. During this
period three cases admitted as scarlet fever and two as diphtheria
proved to be Measles.
Whooping Cough.—This disease was not prevalent during
the year, and no case, notified as Whooping Cough, was admitted.
The disease, however, was present in eight cases in
combination with other infections, as follows: —
With Scarlet Fever 2 cases
,, Diphtheria 3 ,,
,, Pneumonia 3 ,,
Whooping cough was a contributory cause of death in one
case.