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

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East Ham 1910

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

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53
Tracheotomy was performed on four cases with one death.
The chief complications which occurred were :—
Antitoxine Rashes 63 Adenitis 2
Paralysis 6 Pneumonia 2
Albuminuria 3 Bronchitis 1
The average stay in the hospital was six weeks. In
each a Bacteriological examination of a swab from the throat
or nose was undertaken before the patient was discharged.
ENTERIC FEVER.
Nine cases of this disease were admitted during the last
four months of the year. Amongst these 9 cases there were
3 deaths. In all the cases admitted the diagnosis was correct.
One case, a little boy aged 9 years, had the severe
Meningeal type of Typhoid. Another case which died was
one which had not been diagnosed in the early stages and had
a relapse after being admitted to hospital. The third death
occurred in a man whose health had been bad before he
developed the disease.
CUBICLES.
Co-existence of more than one disease in the same patient
was by no means uncommon, and these cases were treated in
the cubicles.
It is obvious how dangerous it would have been to put
these cases into an ordinary ward, or in cases where the
diagnosis was doubtful. I regret that we have not been able
to make more use of these cubicles owing to insufficient
heating, but this is now under consideration by the Council, and
I hope the trouble will be remedied before the summer is over.
83 cases were treated with only 2 deaths.
PHTHISIS.
Fourteen cases of Pulmonary Tuberculosis were treated
in the Hospital during the year. Most of them were advanced
cases and two died during the bad weather in November from
Bronchitis complicating the disease. Seven greatly benefited
by the treatment.
Our intention was to educate them in " open air treatment,"
also management of their expectoration, instruction as to diet
and to lessen the danger of infecting others.