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

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West Ham 1931

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

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103
Measles.
Few cases of this disease were in hospital until near the end
of the year, when the admissions rose rapidly. The number under
treatment was 33. Of these, 23 were discharged recovered, 2
died, and 8 remained under treatment at the end of the year. Of
the 2 fatal cases, one aged 4 years was complicated by broncho
pneumonia; the other, aged 3 months, was suffering from marasmus.
Pneumonia.
The total number of cases under treatment was 65. Of these,
22 were discharged recovered, 12 died, and 31 remained under
treatment at the end of the year. Included in the group are 7
adults who were suffering from lobar pneumonia. One of these
died—a man aged 63 years. The other cases were all young
children suffering from broncho pneumonia. Eleven of these
died; all of them were under 3 years of age; 5 other cases which
were admitted as broncho pneumonia proved to be suffering from
whooping cough.
Erysipelas.
Fifty-two cases were under treatment. Of these, 41 were
discharged recovered, 8 died, and 3 remained under treatment at
the end of the year. The face and scalp were the parts affected in
39 of the cases. The trunk and limbs were involved in 13 cases.
The attack was mild in 14 cases, moderately severe in 20 cases,
and severe in 18 cases. Erysipelas antitoxin and polyvalent antistreptococcal
serum were administered to the moderate and severe
cases. The dosage averaged 35 c.cs. The results of the antitoxin
treatment were not very satisfactory. The injection of the
serum was not followed by any marked improvement in the majority
of the cases. The majority of the cases were adults, and
both sexes were about equally affected. The ages of all the cases
ranged from 14 days to 81 years. Of the 8 fatal cases, 2 were
aged 62 and 74 years respectively. The ages of the other 6 ranged
from 14 days to 14 months.
Cerebro-Spinal Meningitis.
Five cases were notified, but only one of them proved to be
suffering from the disease. This was a male, aged 24 years, who
had a comparatively mild attack, and made a satisfactory recovery.
The other 4 cases, 3 of whom proved fatal, were suffering
from the following complaints: Tubercular Meningitis 1;
Streptococcal Meningitis 1; Gastro-enteritis 1; Influenza 1.