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

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West Ham 1937

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

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under treatment at the end of the year. Broncho-pneumonia was
present as a complication in all the fatal cases, and their ages
varied from five months to five years, the average being two
years. Five cases of diphtheria, four cases of scarlet fever, and
one case of mumps were incubating whooping cough on the day
of admission.
Erysipelas. Twenty-six cases were under treatment, in all
of which the attack was mild or of moderate severity, and all
recovered. The face was the part affected in 21 of the cases, the
arm in 3 cases, and the leg in 2 cases.
Pneumonia. The cases in this group were all children
suffering from broncho-pneumonia and bronchitis. The number
under treatment Vvas 52. Of these, 40 were discharged, 10 died,
and 2 remained under treatment at the end of the year. The fatal
cases were all infants under two years of age.
Chicken-pox. This disease continued rather prevalent
throughout the year, and secondary cases occurred in the scarlet
fever and diphtheria wards from patients admitted in the incubation
stage of the infection. The majority of the cases were of
moderate severity. The number under treatment was 43, and of
these 41 were discharged, one died, and one remained under treatment
at the end of the year. The fatal case w as a child aged 15
months who suffered from "varicella gangrenosa." The
gangrenous lesions appeared on the scalp, and resulted in extensive
areas of sloughing.
Meningitis. At the end of January a girl of two years was
admitted suffering from meningococcal meningitis, and two days
later her young brother aged nine months was admitted suffering
from the same disease. Both were infected with the type II. meningococcus.
The boy was moribund on admission and died twelve
hours later. The girl was treated with serum intravenously and
intrathecally, and made satisfactory progress during the first fortnight
of the illness. At this period, however, she suffered from
severe serum sickness, and subsequently she drifted into the
chronic stage from which she succumbed three months later.
A girl of 18 years died from pneumococcal meningitis five
days after admission, and two children of four years and eight
months respectively died of tuberculous meningitis.
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