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

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Tottenham 1927

[Report of the Medical Officer of Health for Tottenham]

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26
INFECTIOUS DISEASES.
SCARLET FEVER.
The majority of notified cases of this disease are nursed at home
under the care of their own private practitioners. The Council's nurses
assist the practitioners when required.
Of the 466 notified cases, 388 were treated at home by the Council's
Nurses, 5 were treated privately in their own homes, and 71 were
removed to Isolation Hospital (6 of them privately). 2 Tottenham cases
were removed to M.A.B. hospitals from General Hospitals in London.
Of the cases sent to hospital by the Health Department, 43 went
to the Metropolitan Asylums Board's Hospitals, 18 to the Southgate
Isolation Hospital and 4 to the London Fever Hospital. The average
duration of stay in hospital of the cases treated to a conclusion was:
M.A.B. 56.6 days, Southgate 26.9 days, London Fever Hospital 37.5
days. 6 cases were removed privately to the London Fever Hospital.
There were 3 deaths from Scarlet Fever. Two of these occurred
in an Isolation Hospital, the causes of death being given as "Scarlet Fever,
Broncho Pneumonia and "Scarlet Fever, Acute Endocarditis," and
one occurred at home, the cause of death being given as "Scarlet Fever,
Endocarditis".
Seven of the cases removed to hospital had been wrongly diagnosed,
2 being Tonsillitis, 1 Measles, 1 Whooping Cough, 1 German Measles,
1 Erythema, 1 "Observation, not Scarlet Fever". The average
residence in hospital of these patients was 37.1 days.
DIPHTHERIA.
The increased incidence of Diphtheria, commencing in September,
1926, continued with occasional intermissions until the end of March, 1927.
In the latter part of the year 1927 there was again an increased number
of weekly notifications, although fewer than in the corresponding weeks
of 1926.