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

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West Ham 1928

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

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Eczema 3 cases or ,32 per cent.
Nephritis 16 ,, ,, 1.74 ,, ,,
Otorrhoea 44 ,, ,, 4.79 ,, ,,
Rhinitis 31 ,, ,, 3.37 ,, ,,
The average duration of residence for all cases was 42 days.
Diphtheria.
118 cases of this disease were in residence at the end of 1927.
997 cases notified as diphtheria were admitted during- 1928, and
900 of these were proved to be suffering from the disease, making
a total of 1,018 cases under treatment. Of these, 883 were discharged
recovered, 29 died, and 106 remained under treatment
at the end of the year. Of the cases discharged, 54 suffered from
paralysis, which was mild in 40 cases and severe in 14 cases; one
of the latter proved fatal.
101 cases were admitted as laryngeal diphtheria and 82 of
these proved to be correctly diagnosed. Tracheotomy was performed
in 36 of these cases and 4 of them proved fatal, giving a
fatality rate of 12.3 per cent, of the cases operated on. Measles
was a complication in 2 of the fatal cases.
Corrected Diagnosis. 97 cases notified as diphtheria proved
to be wrongly diagnosed, and were found after admission to be
suffering from the following complaints :—Tonsillitis, 55 ; Vincent's
Angina, 6; Quinsy, 3; Measles, 8; Pneumonia, 4; Bronchitis,
1; Rhinorrhoea, 2; Conjunctivitis, 1; Celluitis of neck, 1;
Alveolar abscess, 1; Lymphatic leukaemia, 1; Septic scarlet
fever, 1; Laryngitis, 11; Abscess of lung, 1; Tubercular meningitis,
1.
Fatal Cases. 25 deaths occurred amongst 826 true faucial or
nasal cases discharged, giving a fatality rate of 3.02 per cent.
The duration of illness of these cases, prior to admission, averaged
3.8 days, and their average age was 5 years. The amount of
antitoxin administered to the fatal cases averaged 70,000 units.
The average amount given to all the cases was 19,250 units.
The average duration of residence for all cases was 43.69 days.
Typhoid Fever.
Only 12 cases were under treatment during the year. 5 cases
were in residence at the beginning of the year, 7 were admitted,
and 1 remained under treatment at the end of the year. 2 of the
cases were suffering from para-typhoid B. Tliere were no deaths.
7 other cases notified as typhoid fever proved to be wrongly diagnosed,
and were found after admission to be suffering from the
following complaints:—Gastro-enteritis, 4; influenza, 2; septic
endocarditis, 1.
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