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

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Croydon 1934

[Report of the Medical Officer of Health for Croydon]

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67
DIPHTHERIA.
546 cases were admitted with a diagnosis of diphtheria, an
increase of 310 cases on 1933. Of these 29 were found not to be
cases of diphtheria, and 150 were cases of positive swabs without
clinical symptoms, leaving 367 cases of true diphtheria.
Analysis of the 367 cases:—
Faucial diphtheria 318
Nasal diphtheria 39
Laryngeal diphtheria 5
Faucial and nasal diphtheria 4
Faucial and laryngeal diphtheria 1
367
Of the five laryngeal cases, tracheotomy was necessary in
three cases; of these, two died, one being moribund on admission,
the other, being complicated by broncho-pneumonia, only lived
for two days after operation.
The following complications and sequelae occurred amongst
the Diphtheria patients:—
Otorrhoea 9; rhinorrhoea 17; adenitis 13; heart failure 10;
secondary throat 5; tonsillitis 2; quinsy 1; palatal paralysis
12; eye paralysis 6; facial paralysis 1; leg paralysis 1.

Ages and Sexes of Diphtheria Cases Admitted.

T able X.

Age.Males.Females.Totals.Deaths.Mortality. %
0-19110--151 (27.5%)
1-291120--
2-3191130--
3-429114025.0
4-530215135.9314 (57.5%) 81(15.0%)
5-1012694220115.0
10-1553419422.1
15-2071825--
20-30122436-
30 & over4162015.0
Total 1934298248546195.2*
total 1933126110236147.4
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