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130
School attendance is either alleged by the parents or surmised
by myself, on good grounds, to be the cause of at least 3 attacks during
the year.
At least 5 appear to have caught the infection from previous cases
in the same household. In 4 cases it was verv clear that a preceding
Tonsiilitis predisposed to an attack of Diphtheria. In several cases
there was a history of previous throat trouble, frequently recurring; and
in 2 cases parents had previously had sore throats. One case was
imported into the Borough.
Many aipplications have been made at the office for tubes of
antitoxin, which I store for the convenience of local practitioners.
In this disease the spread of the infection (and by consequence
the mortality) are largely due to the unfortunate circumstance that the
early diagnosis of the disease from clinical symptoms is frequently
difficult or impossible, and bacteriology alone pan solve the difficulty
in many cases. The diagnosis outfits supplied by the Council to the
medical practitioners in Stoke Newington continue to be much appreciated.
Every practitioner has been kept provided, during the year
with such an outfit, and has thus had at his disposal the means of
procuring a bacteriological diagnosis of Diphtheria, Enteric Fever,
and Consumption.
The following is a list of the applications received during 1911,
together with the results of the examinations performed at the Lister
Institute of Preventive Medicine, London