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

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West Ham 1932

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

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The chief causes of death during the year arc briefly summarised as follows :—

Scarlet Fever2 deaths.
Diphtheria9 „
Measles33 „
Whooping Cough14 „
Pneumonia37 ,,
Meningitis (various forms)8 „
Erysipelas4 „
Other Diseases21 „
128 „

The fatality rate, calculated on all the cases admitted during
the year, was 6.86 per cent.
Table I shows the admissions and deaths for each month of
the year, and in Table II there is shown the annual admissions
and deaths from the principal infectious diseases since the Hospital
was opened. (Page 80).
Scarlet Fever.
The total number of cases under treatment was 676. Of these
560 were discharged recovered, 2 died, and 114 remained under
treatment at the end of the year.
Scarlet fever antitoxin was administered to 67 of the more
severe cases which were admitted within the first three days of
illness. The dosage varied from 10 c.c.s to 40 c.c.s.
The average duration of illness on admission was 3.76 days.
Patients between the ages of 4 and 14 years, who were free from
•complications, were transferred to the Convalescent Hospital at
Harold Wood at the end of their second week of illness. The
average duration of residence at Plaistow Hospital of all cases
was 22 days.
Corrected diagnosis:—41 cases, notified as scarlet fever, were
wrongly diagnosed and proved after admission to be suffering
from the following complaints measles, 9; tonsillitis, 6; no
disease, 10; toxic rash, 5; scabies, 2; chickenpox, 2; influenza,
1; dermatitis, 1; sun burn, 1; abcess of jaw, 1; diphtheria, 1;
bronchitis, 1 ; marasmus, 1.
Three cases admitted as diphtheria and 2 cases admitted as
measles proved to be suffering from scarlet fever.
Five cases in which the diagnosis was doubtful on admission
contracted the disease in the wards, and 4 cases suffered a relapse
•during the 3rd week of illness.
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