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

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West Ham 1933

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

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Pneumonia.
Cases of bronchitis and broncho pneumonia are included under
this group. A total of ,124 cases were under treatment. Of these,
23 suffered from lobar pneumonia, 85 from broncho pneumonia,
and 18 from bronchitis. Twenty-one cases proved fatal, and of
these, 4 were from lobar pneumonia, 15 from broncho pneumonia,
and 2 from bronchitis. The deaths from broncho pneumonia were
all in children under 2 years of age.
Erysipelas.
A total of 55 cases were under treatment. Of these, 51 were
discharged, 3 died, and 1 remained under treatment at the end
of the year. All the cases were fairly severe. The face and scalp
were the parts affected in 41 cases, the arms in 3 cases, and the
legs in 4 cases, and in 7 cases the disease had spread over the
greater part of the body. Of the 3 cases which proved fatal, a
man aged 33 years and a child aged 14 months were complicated
by broncho pneumonia; the third case was a man aged 62 years
suffering from senile debility. The fatality rate was 5.76 per
cent. All the cases received erysipelas antitoxin and polyvalent
antistreptocoecal serum in dosage varying from 35 to 100 c.cs.
Of 5 other cases which had been admitted as erysipelas, 3
proved to be suffering from cellulitis and 2 from dermatitis.
Meningitis.
Four cases of meningitis were under treatment. Two of these
proved to be suffering from cerebro-spinal meningitis. Both were
children under 5 years of age. They were both moribund on
admission, and died within 24 hours. A girl of 16 years died from
tubercular meningitis, and a boy of 8 years died from pneumococcal
meningitis. Four other cases which had been admitted as
cerebro-spinal meningitis proved to be suffering from the following
complaints:—Broncho pneumonia 1; Meningism 1; Anaemia
1, Mastoiditis with subdural abscess 1. The latter proved fatal.
Other Diseases.
In addition to the cases of revised diagnosis which have
already been mentioned, the following are included under this
group:—Puerperal pyrexia 5, Chickenpox 15, Rubella 4, Mumps
6, Rheumatic fever 2, Endocarditis 1, Peritonitis 2, Mastoiditis
2, Keratitis 1, Scalds 1, Septic Pharyngitis and Septicaemia 1,
Poliomyelitis 1, Renal Colic 1.
Of these, the following proved fatal:—Rheumatic fever 1,
Endocarditis 1, Scalds 1, Septic Pharyngitis 1.
Cross Infection.
Six scarlet fever patients were admitted at various periods
during the year in the incubation stage of chickenpox, and 25
other patients contracted the disease from them. One other
patient developed herpes zoster in her second week of illness, and
within a fortnight an outbreak of chickenpox occurred in that ward
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