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

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West Ham 1946

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

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under treatment to 859. Of these, 772 were discharged recovered,
8 were transferred to other hospitals, 11 died, and 68
remained under treatment at the end of the year.
SCARLET FEVER. Little change occurred in the prevalence
of this disease as compared with the previous two years,
and the type of infection continued to be mild. The number of
cases under treatment was 273. Of these, 245 were discharged,
and 28 remained under treatment at the end of the year.
Complications occurred in 43 of the cases discharged (17.5
per cent.). These complications were: cervical adenitis, 17;
otitis media, 8; nephritis, 4; albuminuria, 3; rhinitis, 7; nasal
diphtheria, 4.
The diagnosis was changed in 17 cases notified as scarlet
fever. The corrected diagnoses were: measles, 5; erythema,
3; tonsillitis, 4; urticaria, 2; no disease, 2; otitis media, 1.
DIPHTHERIA. The number of cases under treatment was
145, as compared with 140 in the previous year. Of these,
135 were discharged recovered, one died, and 9 remained under
treatment at the end of the year. The fatal case was a boy,
aged 5 years, who was in the third day of illness on admission
and was suffering from a severe attack of faucial diphtheria.
In 94 cases the disease was classified as mild, moderate in 35
cases, and severe in 15 cases. The fauces were involved in all
cases, except 5 in which the infection was confined to the nose.
In one severe case both fauces and larynx were affected. This
patient required tracheotomy, but ultimately made a satisfactory
recovery.
Paralysis occurred in .15 cases, being of a mild type in 12
cases, moderate in 2 cases, and severe in one case.
Thirty-five patients gave a history of having been previously
immunised against diphtheria. The attack was mild in 28 of
these cases, and moderately severe in 7 cases.
The diagnosis was revised in 91 of the cases notified as
diphtheria. The corrected diagnoses were as follows : Tonsillitis,
61; laryngitis, 15; Vincent's angina, 8; broncho-pneumonia, 4;
measles, 2; quinsy, 1.
MEASLES. Cases of this disease were unusually numerous
during the summer months, but the type of infection was mild.
The total number under treatment was 65. Of these, 61 were
discharged, 2 died, and 2 remained in hospital at the end of the
year. The fatal cases were both complicated by bronchopneumonia.
WHOOPING COUGH. An increase occurred in the prevalence
of this disease, as compared with the previous year,
particularly among infants under one year of age. None of the
cases gave a history of having been immunised against the
disease. The total under treatment was 44. Of these, 40 were
discharged recovered, 2 died, and 2 were in hospital at the end
of the year.
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