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85
In the Supplement of the 21st. Annual Report of the
Local Government Board, 1891—1892, in the Reports of Dr.
Klein and Dr. Sidney Martin, the pathological nature of
diphtheria is established. Dr. Klein announces his opinion
that the true cause of the disease is the bacillus discovered
by Klebbs, and Loffler, whilst Dr. Martin proves in a
convincing manner how the bacillus exerts its baneful
influence.
Dr. Klein further considers that the so-called "Scarlatinal
diphtheria" is not true diphtheria.
The 21 deaths in the St. Giles District in 1893 were 7.1
in excess of the decennial average.
5.—whooping-cough.
18 children died from this disease, this number was
5 below the average, 17 of the deaths were under five
years of age.
6.—fever.
No notifications of typhus, nor of simple and ill defined
forms of fever were recorded throughout the year.
34 cases of typhoid, or enteric fever were reported,
of which 6 were fatal.
15 of the patients were removed to the various hospitals.
The death-rate from fever was 4.7 below the average.
The Ambulance Committee of the Metropolitan Asylums'
Board report that during the year 20,885 fever, diphtheria,
and small-pox patients were removed from their homes to
the various hospitals of the managers. Altogether 36,976
removals were effected by the land ambulance service
during 1893, and the various vehicles made 24,017 journeys,
and ran 245,311 miles.