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45
Diphtheria.
We received notifications relating to 49 cases of diphtheria occurring in
residents in the Borough.
All were removed to hospital.

No deaths occurred. Ten of the notified cases were returned from hospital
certified as not suffering from diphtheria.

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, 7,736 cases were notified, giving rise to 197 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 48 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 dcctors diagnoi ing the disease.
Of the 48 cases, 34 were clinical cases (14 were notified as " nasal "). Of the
total number, three notifications related to Holborn residents, two being members
of the resident medical or nursing staff. Forty-five were in-patients admitted
from areas outside the Holbom 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.