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

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West Ham 1945

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

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diphtheria. The corrected diagnoses were as follows: tonsillitis,
81; laryngitis, 8; bronchitis, 3; Vincent's angina, 4; quinsy, 3.
MEASLES. This disease was prevalent during the first
half of the year and 189 cases came under treatment. Of these,
181 were discharged recovered, 5 died, and 3 remained in
residence at the end of the year. Broncho-pneumonia was the
complication present in 4 of the fatal cases, who were all
children under 2 years of age. The fifth case was complicated
by acute encephalitis.
WHOOPING COUGH. Only 22 cases of this disease
were under treatment during the year. Of these, 19 were
discharged recovered, one died, and 2 were in hospital at the
end of the year. The fatal case was an infant, aged 4 weeks,
who was suffering from broncho-pneumonia.
MENINGITIS. Seventeen cases, notified as meningitis,
were admitted. Of these, 4 were suffering from meningococcal
meningitis, 2 had tubercular meningitis, and in 2 cases the
causal organism was not isolated. One death occurred in the
meningeal group, and the tubercular cases were both fatal.
The remaining cases proved after admission to be suffering from
the following complaints: broncho-pneumonia, 3; pharyngitis, 2;
mastoiditis, 1; quinsy, 1; chorea, 1; no disease, 1.
DYSENTERY. During the year. 45 cases were under
treatment suffering from gastro-enteritis. In 7 of these the
Sonne type of organism was isolated; they all recovered. Among
the remaining 38 cases, 6 proved fatal. These were all infants
under the age of nine months.
OTHER DISEASES. The main diseases in this group
were as follows: Erysipelas, 11; pneumonia, 77; chickenpox,
17; dermatitis, 14; scabies, 13; erythema, 10; coryza, 5;
stomatitis, 2; rheumatism, 1; cellulitis, 3; rubella, 3; puerperal
fever, 2; chorea, 2; impetigo, 7; jaundice, 2; intussusception,
1; cerebral tumour, 1; intestinal, obstruction, 1; ophthalmia
neonatorum, 1; poliomyelitis, 1; no disease, 18.
In the above group 5 of the cases suffering from pneumonia
proved fatal.
GATE CASES. The number of patients suspected to be
suffering from an infectious disease who were brought to the
Hospital for diagnosis was 1,061. Of these, 511 were referred
by medical practitioners and 550 were brought direct by
relatives. The number of these admitted To the Hospital was
147.
A total of 1990 swabs from nose and throat were examined
for medical practitioners and other institutions for the presence
of diphtheria bacilli. Of these, 173 were found to be positive.
During the year, 108 patients under five years of age were
immunised against diphtheria.
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