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

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West Ham 1935

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

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Of the 693 cases discharged, 287, or 41.4 per cent, suffered
from one or more complications, as follows:—
Adenitis 48 cases or 6.93 per cent.
Albuminuria 44 ,, ,, 6.35 ,, ,,
Nephritis 5 ,, ,, 0.72 ,, ,,
Otorrhoea 57 ,, ,, 8.22 ,, ,,
Arthritis 19 ,, ,, 2.74 ,, ,,
Rhinitis 65 ,, ,, 9.38 ,, ,,
S'eptic fingers 22 ,, ,, 3.17 ,, ,,
Secondary tonsillitis 21 ,, ,, 3.03 ,, ,,
Endocarditis 3 ,, ,, 0.43 ,, ,,
Vaginitis 3 ,, ,, 0.43 ,, ,,
The average durations of residence of all the cases was 35.01
days.
Diphtheria.
The number of cases admitted during the year, notified as
diphtheria, was 856. The diagnosis was amended after admissions
in 134 of these cases, or 15.65 per cent. of the admissions.
At the beginning of the year 153 patients were in residence
and the total number under treatment was 875. Of these, 712
were discharged, 35 died, and ,128 remained under treatment at
the end of the year. The average duration of residence was 53.66
days.
Corrected diagnosis:—The 134 cases which proved to be
wronely diagnosed were found after admission to be suffering from
the following complaints:—Tonsillitis 84, lary ngitis 10, bronchopneumonia
4, lobar pneumonia 1, Vincent's angina 12, ulcerative
pharyngitis 3, retro-pharvngeal abscess 4, bronchitis 3, thrush 2,
polio-myelitis 1, congenital stridor 2, measles 1, mumps 1.
malnutrition 1, pulmonary tuberculosis 1. scarlet fever 4. Of
these, the following proved fatal:—Ulcerative pharyngitis 2, poliomyelitis
1, pulmonary tuberculosis 1.

The cases which were discharged or died during the year are classified as follows:—

Type of Disease.Number of Cases.% of Total Cases.Deaths.Fatality Rate
Faucial59279.25305.07
Laryngeal263.48519.23
Nasal only9112.18
Aural40.54
Bacteriological344.55

The faucial cases are again classified according to severity,
as follows:—
Mild 198 cases, or 33.45 per cent.
Moderate 21.1 ,, ,, 35.64 ,,
Severe 183 ,, „ 30.91 ,,
110