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There was no "return" case, i.e., no secondary case was notified from any
family within four weeks after the return home of a primary case.
In London, 8,384 cases were notified giving rise to 262 deaths.
We endeavour to co-operate with the Medical Superintendents of the Fever
Hospitals serving the County of London; information is now sent to them as to
any bacteriological examinations before admission or after discharge of the patients,
and also with regard to return cases of diphtheria or scarlet fever.
Diphtheria in Hospitals.
Information was received of 82 cases of diphtheria occurring among in-patients
or staffs at two hospitals in the Borough.
The information was obtained from the notifications of removal received from
the London County Council, or from the ordinary notification certificates furnished
by the doctors diagnosing the disease.
From one hospital there were 60 notifications of which 58 were clinical cases
(42 were notified "nasal") and one was notified as a " carrier." Of these
60 notifications three related to Holborn residents, being nurses at the hospital.
Fifty-seven were in-patients admitted from areas outside the Holborn Borough.
Copies of the notifications of these cases if sent to the Holborn Public Health
Department are forwarded to the Medical Officers of Health of the districts from
which the patients are admitted.
From a second hospital 22 cases were removed, 14 clinical (four nasal) and
eight " carriers " only. Of the 22 cases notified, eight were Holborn residents
(three nurses and five in-patients); the remaining 14 were in-patients admitted
from outside the Holborn area.