[Report 1932] / Monmouthshire County Council.

  • Monmouthshire County Council
Date:
1932
Catalogue details

Licence: Attribution 4.0 International (CC BY 4.0)

Credit: [Report 1932] / Monmouthshire County Council. Source: Wellcome Collection.

    87/138 page 79
    for ariy cases which she may lose through this suspension. Death resulted in three of the six cases which were notified under the Regulations and followed up by the County Staff. On the 1st October, 1926, puerperal pyrexia became a notifiable disease in addition to puerperal fever. Puerperal Pyrexia is defined as any febrile condition (apart from puerperal fever) occurring in a woman within 21 days after childbirth in which a temperature of 100-4 degrees Farh. or more has been sustained during a period of 24 hours. Twenty-four cases of puerperal pyrexia were notified in 1932 and all were followed up by the Inspec- tress of Midwlves. Twenty-three cases cleared up satisfactorily, and one sub- sequently proved to be puerperal septicaemia. A scheme for the provision of facilities for diagnosis and treatment of cases is in operation. Under the scheme the services of Dr. G. 1. Strachan, M.D., F.R.C.S., of Cardiff, have been retained as consultant obstetrician, and his services have been requisitioned frequently by the medical practitioner in attendance upon the case. Cases requiring hospital treatment are sent to an Infectious Diseases Hospital (two were admitted to Cardiff Infectious Diseases Hospital during the year) and any necessary bacteriological examination is made by Dr. Gwyn Rocyn Jones, County Bacteriologist, at the County Laboratory, Newport. ✓ INFANTILE DIARRHOEA. Five cases of this disease were discovered during visits to homes, and fifteen re-visits paid, as against 6 and 1 1 re-visits in the year 1931. Thirty deaths were registered in children under two years of age giving a death rate of 5-95 per 1,000 births, as compared with 5 69 for the year 1931. All cases of which the Health Visitor has knowledge are visited, but it is obvious that very many cases do not come to her notice. This disease is not notifiable. During the years preceding the introduction of the County Maternity and Child Welfare Scheme, the death-rate averaged 1 1 per 1,000 births. The average rate for the past fourteen years, which includes one very hot summer, when the rate was 17-2, has been 7 per 1,000 births, it will be observed that the rate for 1932 is considerably below that average. The reduction in the rate in recent years is undoubtedly due to the greater care which is now observed in the feeding of Infants and the measures taken by the Council to ensure a clean milk supply. The infective type of the disease is essentially one of the summer months and it varies in intensity according to the type of summer, many more cases occurring in really warm weather. During these months, the mothers attending the County Maternity and Child Welfare Centres are warned of ihe measures necessary to prevent the disease, and printed instructions to mothers in regard to these diseases are distributed by the Health Visitors at homes when cases are discovered. ENCEPHALITIS LETHARGICA. The number of cases of Encephalitis Letharglca notified during the year 1932, was 3, as compared with 8 in 1931, 9 in 1930, 6 in 1929, 13 in 1928, 21
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