View report page

43
That immunisation should not be delayed and should be carried out in
connection with Infant Welfare Centres rather than institutions which deal with
children of later age is well borne out by the facts as regards the age of attack and
mortality given below.
The number of deaths shown in the following Table do not bear an exact
relationship to the number of cases notified because some of the deaths included
as occurring in 1919 may have been cases notified during the latter part of 1918,
and some deaths of eases notified in the latter part of 1921 may not have occurred
until 1922. The figures, however, give a useful indication that diphtheria attacks
a considerable number in the early years of life with a high mortality rate. It
will be seen that 26.9 per cent. of the total cases were children under five years
of age and these notifications accounted for not less than 52.6 per cent. of the
total deaths.
AGES
1919
Notifications
Deaths
1920
Notifications
Deaths
1921
Notifications
Deaths
Three Years, 1919-21
Notifications
Total
Received
% of Total
all Ages
Total
Deaths
%of
Attacks
% of Total
all Ages
Under 1 year
llto 2 years
2 to 3 years
3 to 4 years
4 to 5 years
5 to 10 years
10 to 15 years
0-15 years
All ages
169
354
531
788
826
3804
1461
7933
0181
37
66
305
345
753
775
281
539
689
957
1138
5522
2357
11483
13734
62
98
379
446
985
1023
353
957
883
994
1207
6082
2996
13472
16281
66
165
374
503
1108
1150
803
1850
2103
2739
3171
15408
6814
32888
39496
2.0
4.7
5.3
6.9
8.0
39.0
17.3
83.2
100.0
165
329
1058
1294
2846
2948
20.5
I7.6
13 .2
5.8
8.6
7.4
5.6
11.l
35.9
43.9
96.5
100.0
Scarlet Fever.
All the 147 cases of scarlet fever were removed to hospital with the exception
of three which were satisfactorily isolated at home. Two cases were returned
from hospital "not scarlet fever."
In connection with 13 of the cases during the year there were 37 secondary
cases. Thirty-five of these were notified either at the same time or within a
few days of the primary case. Of these secondary cases 14 were among
the staff of two hospitals and 10 lived at a large residential establishment.
There was one "return" case, i.e., a case of scarlet fever occurring within 28
days of the return from hospital to the same house of a previous case of scarlet
fever. The "return" case was notified eight days after the return home of the