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

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City of Westminster 1908

[Report of the Medical Officer of Health for Westminster, City of]

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Notification of Diphtheria Cases Received in each Month, 1901-08.

January.February.March.April.May.June.July.August.September.October.November.December.Total.
1901131016221919341927362117253
190227191717252039259273228285
19031713238181421913171320186
190461710129181110102796145
1905777121196108141512118
190620231181320211413282213206
19072021811912181718713145
1908191014141712141313231721187

Twenty cases were eventually decided not to be diphtheria; on the
other hand, probably more were not discovered.

There were 17 deaths. In one instance the cause of death was not found until after death, so it could not be notified.

Diphtheria.1901.1902.1903.1904.1905.1906.1907.1908.
Deaths per 100 Cases—
The City10.011.08.63.44.27.611.09.9
The County10.910.89.610.28.68.88.99.0

A death occurred from acute laryngitis in an otherwise healthy
child; the circumstances were suggestive of diphtheria, but no membrane
having been seen, and no bacteriological examination having been made,
the case was not reported as such by the medical man in charge.
A number of cases of infectious disease arose while the persons were
away on holiday.
Information reached me from another borough of an outbreak of
diphtheria in a large institution which had been introduced by a child
from Westminster. Her parents stated that she had a slight cold while
at home, had no medical attendant, but was seen by a doctor before
returning to school, and found to be apparently well. On an examination
of all the children being made at the school, this girl was found to be
suffering from swollen glands, and the diphtheria bacillus was found in
her throat. While she was at home, a child living on the next floor
was notified to be suffering from diphtheria, and as her illness was soon
after, it is probable there was some connection between the cases, or
there may have been a "carrier" case friendly with both families.
An instance of rapid recurrence of diphtheria was noted in a child
of three years of age. The first attack began on 22nd January of this
year, he was admitted to hospital on the 23rd, and transferred to Gore