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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Erysipelas.
This disease was not so prevalent as in previous years, and
only 10 cases were under treatment. They were not so severe,
and none proved fatal. The face was the part affected in 5 cases,
the leg in 3 cases, and the arm in 2 cases. The ages of the
patients ranged from 2 years to 72 years.
Cerebro-Spinal Meningitis.
Of 10 cases which had been notified as cerebro-spinal meningitis
4 proved to be suffering from the disease; 3 of these made a
satisfactory recovery, and one died. In 3 of these cases the
meningo-coccus was typed and proved to be of type I., type II.,
and type III. It was not typed in the fourth case. The patients
were all children under 12 years. The amount of serum administered
to them averaged 250 c.c.s per patient, and the cisterna,
lumbar, intravenous, and intramuscular routes were employed for
the injections. The fatal case was a boy aged ,11 years, from
whom type I. meningo-coccus was isolated; he died on the 18th
day of illness.
Anterior Poliomyelitis.
Six cases of this disease were under treatment; all were children
under 6 years of age. Two of them died within 24 hours of
admission. The 4 which recovered were left with varying degrees
of disablement. In 2 of these there was marked paralysis and
wasting of both legs, and they were transferred to a general hospital
for massage and electrical treatment. The other 2 were discharged.
one with slight dragging of the right leg and the other
with slight weakness of the right deltoid muscle.
Other Diseases.
Included in this group are the following:—Acute rheumatism
3, rubella 4, chickenpox 7, mumps 9, otorrhoea 3, diabetic coma
1, general pyaemia 1, tubercular meningitis 1, transient pyrexia
1, babies admitted with mothers 3, no disease 1, re-admitted 3.
Of these, the cases of diabetic coma, general pyaemia and tubercular
meningitis proved fatal.
Cross Infection.
During the year 21 diphtheria patients contracted scarlet fever
during convalescence. Six patients were admitted in the incubation
stage of chickenpox, and from these, 18 cases of diphtheria
and 7 cases of scarlet fever contracted the disease. From 3 cases
which were admitted incubating measles, 10 patients were
infected. Six patients contracted whooping cough, and 4 contracted
mumps.
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