Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
Forty-first annual report on the health and sanitary condition of the Parish of St. Mary, Islington
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139
[1896
ANTITOXIN SERUM TREATMENT OF DIPHTHERIA.
The Medical Superintendents of the Metropolitan Asylums Board
have published a report on the treatment of Diphtheria with Antitoxin
Serum, which is of great interest, as no less than 71.3 per cent. of the
total cases admitted to the hospitals (with the exception of the North
Western Hospital) were treated with it.
The following tables are taken from that report, and explain
themselves:—
ALL THE HOSPITALS.
Table A.
Day of Disease | 1st. | 2nd. | 3rd. | 4th. | 5th and after | Total. | Mortality per cent. | |||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Ages. | Cases. | Deaths. | Cases. | Deaths. | Cases. | Deaths. | Cases. | Deaths. | Cases. | Deaths. | Cases. | Deaths. | ||
Under 1 | 2 | 0 | 10 | 6 | 13 | 3 | 10 | 2 | 28 | 16 | 63 | 27 | 42.8 | 32.2 |
1 to 2 | 2 | 0 | 36 | 16 | 41 | 16 | 37 | 21 | 75 | 30 | 190 | 83 | 43.6 | |
2 to 3 | 7 | 2 | 39 | 8 | 60 | 18 | 66 | 20 | 130 | 50 | 292 | 98 | 33.5 | |
3 to 4 | 7 | 0 | 61 | 8 | 83 | 20 | 74 | 20 | 155 | 68 | 380 | 116 | 30.5 | |
4 to 5 | 5 | 0 | 61 | 6 | 77 | 17 | 88 | 30 | 190 | 57 | 421 | 110 | 26.1 | |
5 to 10 | 27 | 1 | 157 | 16 | 212 | 44 | 232 | 55 | 428 | 122 | 1,056 | 238 | 22.5 | |
10 to 15 | 7 | 0 | 83 | 1 | 47 | 3 | 53 | 12 | 113 | 20 | 253 | 36 | 14.2 | |
15 to 20 | 0 | 0 | 3 | 0 | 8 | 1 | 6 | 1 | 21 | 4 | 38 | 6 | 15.7 | |
20 and upwards | 0 | 0 | 7 | 0 | 16 | 0 | 23 | 0 | 25 | 3 | 71 | 3 | 4.2 | |
Total | 57 | 3 | 406 | 61 | 557 | 122 | 579 | 161 | 1,166 | 370 | 2,764 | 717 | 25.9 | |
Mortality per cent. | .. | 5.2 | .. | 15.0 | .. | 21.9 | .. | 27.8 | .. | 31.7 | .. | 25.9 | .. |
Table B. All cases, both, those treated uith Antitoxin and those not, 1896. (In the case of those not treated with antitoxin, day of disease=day of disease on which the patient was admitted to hospital.)
Day of Disease | 1st. | 2nd. | 3rd. | 41b. | 5th and after. | Total. | Mortality per cent. | |||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Ages. | Cases. | Deaths. | Cases. | Deaths. | Cases. | Deaths. | Cases. | Deaths. | Cases. | Deaths. | Cases. | Deaths. | ||
Under 1 | 5 | 1 | 11 | 7 | 16 | 5 | 13 | 4 | 36 | 20 | 81 | 37 | 45.6 | 30.2 |
1 to 2 | 2 | 0 | 40 | 18 | 47 | 20 | 48 | 28 | 103 | 43 | 240 | 109 | 45.4 | |
2 to 3 | 8 | 2 | 54 | 9 | 76 | 22 | 65 | 24 | 185 | 62 | 388 | 119 | 30.6 | |
3 to 4 | 10 | 0 | 74 | 12 | 105 | 26 | 98 | 23 | 221 | 82 | 508 | 143 | 28.1 | |
4 to 5 | 9 | 0 | 74 | 8 | 107 | 20 | 114 | 31 | 265 | 74 | 569 | 133 | 23.3 | |
5 to 10 | 37 | 1 | 216 | 17 | 287 | 47 | 29S | 61 | 670 | 147 | 1,508 | 273 | 18.1 | |
10 to 16 | 11 | 0 | 67 | 2 | 83 | 4 | 96 | 12 | 236 | 26 | 493 | 44 | 8.9 | |
16 to 20 | 1 | 0 | 9 | 0 | 28 | 1 | 33 | 0 | 63 | 5 | 134 | 8 | 5.9 | |
20 and upwards | 1 | 0 | 22 | 0 | 74 | 1 | 57 | 0 | 100 | 4 | 254 | 5 | 1.9 | |
Total | 84 | 4 | 567 | 73 | 823 | 146 | 822 | 185 | 1,879 | 463 | 4,175 | 871 | 20.8 | |
Mortality per cent. | .. | 4.7 | .. | 12.8 | .. | 17.7 | .. | 22.5 | .. | 24.6 | .. | 28.8 | .. |