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1929
28
the disease increases, this consummation may appear impossible,
but we can in other ways limit the mischief which the disease may
cause, and the inconvenience it may entail.
Diphtheria.
48 cases of Diptheria were notified and one death occurred
from the disease. In 1928, 78 cases were notified with 7 deaths.
Although the number of cases notified was less than that of 1928,
the most marked difference was in the lessened virulence of the
disease.
Tuberculosis.
73 cases of Pulmonary Tuberculosis and 12 cases of other
forms of Tuberculosis were notified during the year.
There were 52 deaths from Pulmonary Tuberculosis and 7
deaths from other forms of Tuberculosis.
The death-notification interval of the 52 patients who died
of Pulmonary Tuberculosis in 1929 was—
Information from Death returns 6
Notification dated same day as the Death Certificate 1
Died within 1 month after notification 5
Died within 3 months after notification 3
Died within 6 months after notification 4
Died within 12 months after notification 2
Died between 1 and 2 years after notification 4
Died between 2 and 3 years after notification 9
Died over 3 years after notification 18
Of the deaths where information was received from the
death returns 1 occurred in the district and 5 outside. The doctor
who did not notify the case had also two other cases in which the
notifications were received only 9 days before the date of death.
The other cases in which information was derived from the
death returns were outside cases, and in some of them there was
a reasonable excuse. One was found dead on a railway line, and
a post-mortem examination revealed the condition. Another had
only been recently admitted to a general hospital and a post-mortem
examination revealed general tuberculosis as well as marked pulmonary
lesions. The fourth case died in a Mental Institution in
the North of England and the fifth and sixth deaths occurred in a
Workhouse Infirmary.
Five of the 7 deaths from Tubercular diseases other than
Pulmonary Tuberculosis were not notified. 4 of these deaths were
from Tubercular Meningitis and occurred in Public Institutions, and
the fifth was from a Tubercular Spine.
There is room for improvement in the matter of notification
from a few of the doctors. Most of the doctors notify the case