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

View report page

West Ham 1947

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

This page requires JavaScript

was complicated by acute encephalitis. From this condition the
patient made a very slow, but ultimately satisfactory, recovery.
The total number of cases under treatment was 102. Of
these, 99 were discharged and 3 died. The fatal cases were all
under the age of 18 months and were complicated by bronchopneumonia.
WHOOPING COUGH. Cases of this disease continued
to occur throughout the year. None of them gave a history of
having been immunised against the infection. The total number
of cases under treatment was 74. Of these, 62 were discharged
and 12 died. All the fatal cases were under one year of age,
the youngest being an infant of 10 weeksi
MENINGITIS. Of 35 cases which had been admitted under
a diagnosis of meningitis, 12 proved to be suffering from
meningococcal meningitis, 2 had tuberculous meningitis, and 1 had
pneumococcal meningitis. Nine of the cases of meningococcal
meningitis recovered and 1 died; the 2 of tuberculous and the 1
of pneumococcal meningitis were fatal. The other notified cases
proved to be suffering from the following complaints: Pneumonia,
5; meningism, 4; influenza, 4; convulsions, 1; tonsillitis, 3;
epilepsy, 1; cardiac disease, 1; whooping cough, l; rubella, 1;
no disease, 1.
ACUTE ANTERIOR POLIOMYELITIS. The widespread
epidemic of infantile paralysis which involved most parts of the
country during the summer months did not fortunately affect
this district to any serious extent. Twenty-four cases were
admitted as suspected to be suffering from the infection and 10
of them were later confirmed as cases of the disease. In 6 of
these cases the infection was the mild abortive type. After an
initial stage ot slight fever and meningeal irritation, they made
a rapid recovery without suffering any paralysis. In 4 cases
paralysis did occur; it involved the right arm in two cases, the
left leg in 1 case, and the muscle of the back in 1 case. They
were all children of school age and all made satisfactory
recovery.
CASTRO-ENTERITIS. This disease was very prevalent
among infants during the first half of the year, and many
requests for admission had to be refused owing to shortage of
nursing staff. The number under treatment was 112. Of these,
77 were discharged recovered, 26 died, and 9 remained for
treatment at the end of the year. The fatal cases were all
infants under 1 year, the average age being 5 months.
OTHER DISEASES. The main diseases classified in this
group were as follows: Rubella, 24; chickenpox, 19; mumps, 8;
scabies, 14; pneumonia, 42;, bronchitis, 12; puerperal pyrexia, 4;
ringworm of scalp, 3; impetigo, 8; dermatitis, 5; erythema, 7;
pulmonary tuberculosis, 3; erysipelas, 14; influenza, 4.
Of these, the followng cases proved fatal: Pneumonia, 3;
pulmonary tuberculosis, 2; erysipelas, 1.
15