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33
insanitary defects obtained in 120. Thirteen persons
were removed from single room tenements, one of
which was overcrowded. I found the isolation in all
the home cases fairly satisfactory.
DIPHTHERIA.
Deaths 15 (Decennial average 25).
Diphtheria was notified in 221 cases and Membranous
Croup in nine others. Ten of the certificates
were duplicates. Nine persons, most of them suffering
from a very mild form of the disease, were treated at
home where one of them died; of the others 203 were
removed to M.A.B. Hospitals and eight urgent cases
were treated in local hospitals (London or Queen's).
In nine instances information was received to the effect
that the diagnosis as certified was incorrect. Of the
202 true cases treated in hospital fourteen died, a case
mortality of 6.9 per cent. as against 7.4 amongst the
whole of the Eastern Hospital cases.
All the Diphtheria deaths were amongst young
children aged less than five years, a mortality of 0.9
per thousand on the estimated population of young
children. 103 of the cases were reported from the
North-East sub-district and 117 from the South-West.
The Inspectors report that 125 of the homes of the
patients were satisfactory; in 16 others the W.C., or
the apparatus connected therewith, was defective.
Drainage defects were found in 18 and minor insanitary
conditions in 99. Fourteen persons were removed from
single room tenements, one of which was overcrowded.
36,000 units of antitoxin were supplied free during