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Deaths. Eight deaths were due to Diphtheria,
giving a case mortality of 4.3 per cent. and a
death rate of 0.05 per thousand of the population
at all ages. Four deaths were in males and four
in females.
Ages at death were, in three cases five years,
in two cases four years, in one case three years
and in the other two cases 20 months.
The Prevention and Control of Diphtheria. The
methods employed for the prevention of diphtheria
are:—
1. Notification of cases to the Medical Officer of
Health.
2. Isolation in hospital of patients suffering from
the disease.
3. Thorough cleansing and disinfection of rooms and
articles which have been in contact with the
patient, (bedding, clothing, feeding utensils,
books, toys, pencils, pens, etc.).
4. Examination and supervision of contacts, and
5. General improvement in sanitation and housing
conditions.
Diphtheria is spread mainly from person to
person through the medium of the respiratory
channels, e.g., during the act of coughing, sneezing,
talking, kissing, etc. Persons suffering from
the disease are the principal causes of spreading
the infection. Diphtheria is caused by KlebsLoeffler
bacilli and is spread not only by patients
suffering from signs and symptoms of the disease
but also by persons showing neither objective
signs nor subjective symptoms of diphtheria; such