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duration predisposed to an attack of Diphtheria. In two cases the
attack was preceded by "sore-throat" in other membersof the family.
In most of the cases I was unable to trace the origin of the
disease in any satisfactory manner; that is to say, after carefully
ascertaining all the facts, the origin of the infection could only be
conjectured, and it was impossible to do more.
In this disease the spread of the infection (and by consequence
the mortality) are largely concerned with the unfortunate circumstance
that the early diagnosis of the disease from clinical symptoms
is frequently difficult and impossible, and Bacteriology alone can
furnish the answer in many cases. The Diagnosis outfits provided by
the Vestry during the year to the medical practitioners in Stoke
Newington have been appreciated. Every practitioner has been
kept supplied with such an outfit, and has thus had at his disposal
the means of procuring a bacteriological diagnosis of both Diphtheria
and Typhoid Fever. The following is a list of the applications
received, together with the results of a careful examination performed
at University College, London.
Suspected Disease. Name of Patient. Result of Examination.
Enteric Fever H. Morris Not Enteric Fever.
Enteric Fever Mrs. Adams Not Enteric Fever.
Diphtheria A.Hughes Diphtheria.
Enteric Fever Mrs. Webb Not Enteric Fever.
Diphtheria Mrs. Everest Diphtheria.
Enteric Fever T. Tarrant Not Enteric Fever.
Enteric Fever A. Gray Enteric Fever.
Diphtheria E.Frost Not Diphtheria
Diphtheria F. Lee Not Diphtheria.
Diphtheria E. Bradridge Not Diphtheria.
Enteric Fever T. Butcher Enteric Fever.
Diphtheria T. Bickell Not Diphtheria.
Diphtheria G. Churcher Diphtheria.