London's Pulse: Medical Officer of Health reports 1848-1972

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Holborn 1933

[Report of the Medical Officer of Health for Holborn Borough]

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Age at Notification of 75 Notified Cases of Diphtheria.

0-11—55—1515—2525-4545-65Total.
12131812275

Three deaths occurred. Seventeen of the notified cases were returned from
hospital certified as not suffering from diphtheria.

Secondary clinical cases were three in number; details follow:—

Primary GateAgeDate notifiedSecondary CaseAgeDate notifiedRemarks e.g. Character of Premises
L. G.35/3/1933G. G.820/3/1933One family house
M. A.628/3/1933G. A.430/3/1933House lot in lodgings
P. S.329/8/1933H. S.2030/8/1933Flat in dwellings

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 ease.
In London, 9,557 cases were notified giving rise to 362 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 67 notifications of which 66 were clinical eases
(63 were notified "nasal") and one was notified as a "carrier." Of these
07 notifications six related to Holborn residents, being members of the resident,
medical or nursing staff. Sixty-one 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 from the districts from which the patients are admitted.
From a second hospital 15 cases were removed, 11 clinical (six "nasal") and
four "carriers" only. Of the 15 cases notified, six were Holborn residents
(nurses); the remaining nine were in-patients admitted from outside the Holborn
area.

Diphtheria in Hospitals.

Hospital.Cases Notified.Disease Notified asHolborn Cases.Non-Holborn Cases.Total.
Staff.In-patients.Clinical.Carrier.
A.66166166167
B.691146915