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

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West Ham 1925

[Report of the Medical Officer of Health for West Ham]

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79
One hundred and nine cases admitted as Diphtheria
proved to be wrongly diagnosed and were found after
admission to be suffering from the following complaints:—
Tonsillitis, 76; Laryngitis, 6; Measles, 7; Vincent's
Angina, 2; Broncho-Pneumonia, 5; Bronchitis, 3; Quinsy, 1;
Mumps, 3; Adenitis, 1; Hydrocephalus, 1; Marasmus, 2;
Chickenpox, 1; Retro-pharyngeal abscess, 1.
Typhoid Fever.—11 cases, notified as Typhoid Fever,
were admitted during the year. Of these, 5 proved to be
suffering from the disease and one of them died. The other
6 cases were found after admission to be suffering from the
following complaints: —
Enteritis, 2; Pneumonia, 1; Cerebro-spinal Fever, 1;
Ulcerative Colitis, 1; Pyelo-nephritis, 1.
measles.—This disease became very prevalent in the
Borough towards the end of the year. The total number of
cases under treatment was 82. Of these 55 were discharged
recovered, 6 died, and 21 remained under treatment at the
end of the year. The fatality rate was 7.3 per cent. of the
admissions. Eight cases admitted as Scarlet Fever and 7 as
Diphtheria proved after admission to be suffering from
Measles. These cases infected 9 patients in the Hospital.
Six susceptible contacts were injected with 5 cubic centimetres
of blood from convalescent measles patients and did not
afterwards contract the disease. Of the 6 fatal cases 5
suffered from broncho-pneumonia, and one from ulcerative
laryngitis.
whooping Cough.—25 cases were under treatment
during the year. Of these, 17 were discharged recovered,
and 8 died. The fatal cases were children under 5 years and
all of them suffered from complications as follows: Bronchopneumonia,
4; Tubercular Meningitis, 2; Miliary Tuberculosis,
1; Marasmus, 1. The fatality rate was 32 per cent.
The disease was also present as a complication in 8 cases
of Scarlet Fever and in 10 cases of Diphtheria.