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Diphtheria. Three hundred and sixty-four cases of Diphtheria
were notified during the year, as compared with 169, 236, 261 and
354 respectively, in the four previous years. This distribution of
these cases was as fellows:- 231 in East Greenwich, 90 in West
Greenwich, 17 in St. Nicholas, 35 in Charlton and 1 in Kidbrcoke.
Of this total number, 347 were removed to the Hospital for
treatment.
Amongst which number, the Hospital Authorities reported that
in 1 case they considered the diagnosis incorrect.
There were 33 fatalities due to this disease, which gives a
case mortality of 6.0 per cent.-
One thousand four hundred and eighty-four specimens were forwarded
by Medical Practitioners for bacteriological investigation
from cases suspected to be Diphtheria. Of this number,1319 were
reported to give negative or doubtful results, and 365 were positive
in character, being dealt with accordingly.
The quarterly incidence of the disease for 1916 has been as
follows:-
1st.Quarter - East Greenwich, 35 cases; West Greenwich, 31; St.
Nicholas, 3; Charlton, 8; Kidbrooke, 1; a total
of 5b cases.
3nd Quarter - East Greenwich, 3b cases; West Greenwich, 31; St.
Nicholas, 5; Charlton, 7; a total of 55 cases.
3rd Quarter - East Greenwich, 55 cases; West Greenwich, 19; 8t.
Nicholas, 3; Charlton, 6; a total of 63 cases.
4th Quarter - East Greenwich, 133 oases; West Greenwich, 35; St.
Nicholas, 6; Charlton, 4; a total of 166 oases.
Membranous Croup.
Five cases of Membranous Croup were notified during the year.
Erysipelas.
Sixty cases were notified during the year, 31 being in East
Greenwich, 24 in West Greenwioh, 7 in St. Nicholas, 7 in Charlton
and 1 in Kidbrooke. Ten of these patients were removed to Public
Institutions in the District.
Scarlet Fever.
One hundred and ninety-three cases were notified during the year,
as compared with 525, 556 and 32c oases respectively in the three
preceding years; 88 cases were in East Greenwich, 54 in West Greenwich,
13 in St. Nicholas, 35 in Charlton and 4 in Kidbrooke; 166
of these cases were removed to the Hospital for treatment. There
were 4 deaths from this disease during the year as against 4 last
year.
Nine of the cases removed to the Hospital as suffering from
Scarlet Fever were returned as wrongly diagnosed, i.e. 1 stated to
be German Measles, 3 Rhinorrhoea, 3 Otorrhœs, no alternative disease
being stated in the remaining 4 oases.
The following Table gives particulars of the six oases which
would seem to be "return oases". There were 4 auch oases in 1915
5 in 1913, 7 in 1911 and 4 in 1918.
33.