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Investigation of multiple cases—that is, several cases occurring more or less together
in one house —shows that in 10 families there were 2 such cases in each home. In
addition, there were 2 small epidemic outbreaks in Hospitals, one of 8 cases and the other of 4.
Antitoxin for the treatment of cases of this disease is supplied to medical practitioners
free of charge by the Council. During the year 176 thousand units were provided.
ENTERIC OR TYPHOID FEVER.
Three cases of Enteric and five of Para B. Typhoid were notified during the year. Two
cases of Enteric were brought to notice only after death and Post Mortem examination. On
further investigation, one of the first group was found to be incorrectly diagonised. One of
the cases notified as Para B. Typhoid died.
There were therefore nine cases and three deaths; one of these deaths was attributed
jointly to Diphtheria and was allocated to Manchester, as the deceased resided there.
PUERPERAL PYREXIA AND PUERPERAL FEVER.
In 1932 there were 46 notifications of Puerperal Pyrexia. One was withdrawn by the
notifying physician. On further investigation 11 of these cases were considered to be
Puerperal Fever rather than Puerperal Pyrexia. There were therefore 34 cases of the
"Pyrexia" and one of these died from "Streptococcal Meningitis, Broncho Pneumonia and
Mitral Stenosis."
Thirty cases of Puerperal Fever were notified. One came to notice only after death
and eleven were transferred from the list of Puerperal Pyrexia notifications. There were
therefore 42 cases of Puerperal Fever and 8 of these died.
The next two tables record the details of the cases, together with certain interesting
circumstances.