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105
None of the cases had received any serum before admission.
Intra-muscular injections of serum between 24,000 and 72,000
units were given to these cases. One case received 20,000 units
intra-venously. The beneficial effect of large doses of serum when
given late are less marked than when given at the onset of the
disease, as the patient has already absorbed a great amount of
toxin in the system which cannot be "fixed," the cause of the
rapid onset of heart failure.
The total deaths amongst true diphtheria cases was 8 as compared
with 7 in 1931: the death rate was 7%.
It is to be noted, however, that only 115 cases of true diphtheria
were admitted in 1931 as compared to 219 cases of true
diphtheria in 1932.
Enteric Fever.
Three cases of Enteric Fever were admitted and 5 Para-typhoid
B. Fever, including 2 cases from Penge.

The cases were of moderate severity and the one death was
due to puerperal septicaemia and not typhoid fever.
Puerperal Fever and Pyrexia.
10 cases were sent in as Puerperal Fever: of these:—
1 case was Acute Mastitis only.
1 case was Constipation only.
1 case was Pyelitis.
7 cases diagnosis confirmed.