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

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Carshalton 1939

[Report of the Medical Officer of Health for Carshalton]

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In the second case, three members of a family developed acute
gastro-intestinal symptoms two or three hours after a meal at which
tinned salmon was eaten. There were no remains which could be
examined, and the examination of the contents of other tins from the
same consignment gave negative results. The symptoms were consistent
with the ingestion of pre-formed toxins. All patients recovered
in the course of seven days or so.

Puerperal Pyrexia.

Five cases were notified, details of which are as follows:—

Day ofAdmitted
Para.onset.Clinical Notes.to Hospital.Result.
35thForceps delivery—mild local infection with diphtheroids and strep - viridansYesRecovered
33rdMiscarriage — infection with haem: streps.Yes.,,
13rdForceps—uterine infection with haem: strep : and cystitis (enterococcus).Yes.,,
1?Miscarriage.Yes,,
117 thMastitisNo,,

Erysipelas.
Nine notifications were received. In seven of the cases the face
was affected, in one the arm and the leg in the other. Five of the
patients were removed to hospital. All recovered.
Pneumonia.
The prevalence of acute respiratory infections was on much the
same scale as in the year before. Ninety-six cases of pneumonia were
notified, of which 14 were stated to be of influenzal origin. The peak
period was, as usual, in the winter, the highest monthly figures beingrecorded
in January.
Polio=myelitis.
Two cases of " Infantile Paralysis " were notified. One, a child
of 5 years", developed a mild attack with local paralysis limited to
the right arm. It received hospital out-patient treatment and
recovered the use of the limb.
The other case, a child of 10 years, received prolonged treatment
in isolation and special hospitals for paresis of the back muscles. She
was discharged eventually with no material disability.
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