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

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Croydon 1907

[Report of the Medical Officer of Health for Croydon]

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22
attacks of tonsilitis, 5 Scarlet Fever, and 4 Diphtheria
had had a previous attack of the disease for which they
were admitted, and 47 cases were found to be suffering
from both Scarlet Fever and Diphtheria.
During the year, after admission to the Scarlet
Fever wards, it was found that in several cases Whooping
cough, measles, chicken pox, and ringworm were
coincident complications of the disease.
Every case is regarded as being infectious so long
as any congestion of the throat or fauces existed, or
where there was any cough or any discharge from either
the ears or nose, or when any sore existed, and until
these troubles had entirely disappeared no patient is
discharged from the Hospital, thus minimising to a
large extent the always possible risk of the occurence of
" Return Cases."
Very instructive information has been obtained with
reference to the prolongation of the infection in cases of
Diphtheria. It has been found that where the bacillus
of Diphtheria exists for a long time after the recovery of
the patient, it has in every case been associated with the
existence of decayed teeth, and in many cases where
such decayed teeth have been removed, the bacillus of
Diphtheria has very rapidly disappeared from the
throat. It has also been noted that in practically 95
per cent of the cases of Diphtheria, decayed teeth have
been found.