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

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Holborn 1934

[Report of the Medical Officer of Health for Holborn Borough]

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Diphtheria.

0—11—55—1516—3635—4545—65Total.
2223116374

Four deaths occurred. Thirteen of the notified cases were returned from
hospital certified as not suffering from diphtheria.

Secondary clinical cases were three in number; details follow : —

Primary CaseAgeDate notifiedSecondary CaseAge 36Date notifiedRemarks e. g. Character of Premises
E. R.6/5 21/2/1934F. R.20/2/1934Tenement House
R. H.419/3/1934P. H.323/3/1934Flat in dwellings
J. M.721/5/1934E. M.924/5/1934Flat in dwellings

There was no " return " case, i.e., no secondary case was notified from any
family within four weeks after the return home of a primary case.
In London, 11,782 cases were notified, giving rise to 481 deaths.
We endeavour to co-operate with the Medical Superintendents of the Fever
Hospitals serving the County of London; and information is now sent to them
as to any bacteriological examinations before admission or after discharge of the
patients, and also with regard to return cases of diphtheria or scarlet fever.
Diphtheria in Hospitals.
Information was received of 64 cases of diphtheria occurring among inpatients
and staff at one hospital in the Borough.
The information was obtained from the notifications of removal received from
the London County Council, or from the ordinary notification certificates furnished
by the doctors diagnosing the disease.
All the 64 were clinical cases (20 were notified "nasal"). Of the total
number, six notifications related to Holborn residents, five being members of the
resident medical or nursing staff. Fifty-eight were in-patients admitted from
areas outside the Holborn Borough. Copies of the notifications of these cases if
sent to the Holborn Public Health Department are forwarded to the Medical
Officers of Health of the districts from which the patients are admitted.