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

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Holborn 1937

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

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47
Diphtheria.
We received notifications relating to 76 cases of diphtheria occurring in
residents in the Borough.
All were removed to hospital.

Age at Notification of 76 Notified Cases of Diphtheria.

0—11—55—15 15—3535—4545—6505 upwardsTotal.
1938 162176

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

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

Primary CaseAgeDate notifiedSecondary CaseAgeDate notifiedRemarks e.g. Character of Premises
B. T928/9/1937A. T.628/9/1937Private house
H.P.1021/10/1937B. P.622/10/1937Flat in dwellings
S. A.7/12/37F. A.219/12/37,, ,,

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, 7,903 cases were notified, giving rise to 210 deaths.
There is co-operation with the Medical Superintendents of the Fever Hospitals
serving the County of London; and information is exchanged as to bacteriological
and other details; and also with regard to return cases of diphtheria or scarlet
fever.
Diphtheria in Hospitals.
Information was received of 55 cases of diphtheria occurring among inpatients
and staff 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.
Of the 55 cases, 50 were clinical cases (25 were notified as " nasal "). Of the
total number, seven notifications related to Holborn residents, six being members
of the resident medical or nursing staff. Forty-eight were in-patients admitted
from areas outside the Halborn 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,