London's Pulse: Medical Officer of Health reports 1848-1972
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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
London County Council 1934
[Report of the Medical Officer of Health for London County Council]
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Table 1.
| Case no. | Initials, age and sex. | Day of disease admitted. | Distribution of membrane. | A.D.S. administered (units and route). | Toxæmic stage. | Cardiovascular manifestations (Day of onset). | Paralytic manifestations (Day of onset). | Drinker operating. | Result. | |||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Day of disease. | Duration in days. | |||||||||||
| 1 | A.C., 6, M. | 4th | Oropharyngeal | 56,000 I.M. | Severe | Complete heart block | (12) | Palate | (31) | 46th | 7 | Recovery. |
| 64,000 I.V. | Eyes | (45) | ||||||||||
| Diaphragm | (46) | |||||||||||
| 2 | V.A., 6, F. | 4th | Oropharyngeal | 120,000 I.M. | Severe | Myocarditis | (9) | Palate | (37) | 49th | 1 | Death. |
| Nasal. | 40,000 I.V. | Intraventricular block | (10) | Heart | (44) | |||||||
| Pharynx | (44) | |||||||||||
| Diaphragm | (49) | |||||||||||
| 3 | H.C., 16, M. | 3rd | Oropharyngeal (mixed streptococcal infection). | 112,000 I.M. + | Moderate | - | Palate | (43) | 50th | 1 | Death (P.M.). | |
| 20 c.c. A.S.S. | Pharynx | (47) | ||||||||||
| Diaphragm | (50) | |||||||||||
| 4 | E.D., 3, F. | 3rd | Oropharyngeal | 56,000 I.M. | Severe | Complete heart block. | Palate | (17) | 45 th | 7 | Recovery. | |
| Nasal. | 36,000 I.V. | Myocarditis | (7) | Pharynx | (17) | |||||||
| Heart | (34) | |||||||||||
| Eyes | (41) | |||||||||||
| Face | (44) | |||||||||||
| Pharynx | (44) | |||||||||||
| Diaphragm | (44) | |||||||||||
| 5 | P.L., 2 5/12, F. | 6th . | Oropharyngeal | 56,000 I.M. | Severe | Intraventricular block. | Palate | (36) | 44th | 4 | Recovery. | |
| 40,000 I.V. | Myocarditis | (9) | Pharynx | (36) | ||||||||
| Heart | (42) | |||||||||||
| Diaphragm | (42) | |||||||||||
| Eyes | (44) | |||||||||||
| Face | (47) | |||||||||||
| 6 | B.B., 3, M. | 5th | Oropharyngeal | 64,000 I.M. | Moderate | - | Heart | (40) | 47th | 8 | Recovery. | |
| Pharynx | (47) | |||||||||||
| Diaphragm | (47) | |||||||||||
| 7 | N.F., 4, F. | 4th | Oropharyngeal | 96,000 I.M. | Moderate | - | Palate | (38) | 44th | 2 | Death. | |
| Pharynx | (44) | |||||||||||
| Diaphragm | (44) | |||||||||||
| 8 | T.S., 5, M. | 4th | Oropharyngeal Nasal. | 80,000 I.M. | Severe | Myocarditis | (7) | Palate | (21) | 37th | 15 | Recovery. |
| 64,000 I.V. | Pharynx | (29) | ||||||||||
| Eyes | (32) | |||||||||||
| Diaphragm | (36) | |||||||||||
A.D.S.—Antidiphtheritic serum. A.S.S.—Antiscarlatinal serum.
I.M.—Intramuscularly. I.V.—Intravenously.