[Report 1931] / Medical Officer of Health, Edinburgh City.

  • Edinburgh (Scotland). City Council.
Date:
1931
Catalogue details

Licence: Attribution 4.0 International (CC BY 4.0)

Credit: [Report 1931] / Medical Officer of Health, Edinburgh City. Source: Wellcome Collection.

    49/186 (page 39)
    There were 14 alleged “ infecting cases ” or 2 -5 per cent, of the total number of scarlet fever convalescents discharged. Of the 14 alleged “ infecting cases ” 10 were “ clean cases ” whilst in hospital. The 14 “ infecting cases ” were responsible for 16 “ return cases.” The return case rate was 2-9 per cent. Antitoxic serum was administered to 18-3 per cent, of the scarlatinal patients. ENTERIC FEVER. The diagnosis was confirmed in 14 out of 24 cases admitted to the wards notified as suffering from enteric fever. One case of typhoid fever was readmitted. The following diseases were noted in the group of 9 cases, either wrongly diagnosed as enteric fever, or sent in for observation :—appendicitis (2 cases), influenza (2 cases), pneumonia, pvelitis, Flexner dysentery, puerperal infection and bronchitis. The infecting organism was the bacillus typhosus in 7 patients, and the bacillus para typhosus B. in 7 cases. The single death occurred from a paratyphoid B. infection. Table showing age and sex of enteric fever patients :— Age-period in years . . 0-4 5-9 10-14 15-19 20-29 30-39 40-49 50-59 60+ Totals. yrs. yrs. yrs. yrs. yrs. yrs. yrs. yrs. yrs. Recovered {p^s ] ] 1 1 1 2 2 2 2 1 i ... 8 5 , /Males ie (Females . l 1 Totals 1 2 4 2 3 2 14 Hospital death-rate, 7-1 per cent. ERYSIPELAS. There were 160 cases admitted to the wards notified as suffering from erysipelas The diagnosis was confirmed in 127 patients. The corrected diagnosis in 33 cases was as follows :—cellulitis (14), dermatitis (9), abscess (3), cavernous sinus thrombosis, phlebitis, septic arthritis, periostitis of cranium and erythema nodosum. The case mortality was 3*93 per cent. The inflammation primarily affected the face in 102 of the 127 cases. Eleven patients (6-9 per cent.) had suffered from a previous attack. Five patients (3-9 per cent.) suffered from one or more relapses while still under treatment in hospital. Table showing age and sex of erysipelas patients Age-period in years . Recovered {females tv , f Males Died \ Females Totals 0-4 yrs. 5-9 yrs. 10-19 yrs. 20-29 yrs. 30-39 yrs. 40-49 yrs. 50-59 yrs. 60-69 yrs. 70+ yrs. Totals. 5 4 4 8 6 6 14 2 49 8 i 7 13 12 8 16 6 2 73 2 1 1 4 1 1 16 i 11 17 20 14 22 21 5 127