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Paralyses:
Palatal 15
Eyes 4
Facial 2
Diaphragm 1
The type" of diphtheria
Cases admitted during the first four months of the year was very severs
and marked - with, greats foxemia and this accounts for the hight death rate
of 889% Compared with 6% for 1938, as also the fact that there wore only
190 cases admitted in 1939 as opposed to 267 in 1938.
Most of the fatal cases were admitted lat , usually on the day
of disease and only 5 of these cases had recoived serum proviouse to
admission, the dose given not exceeding 8000 units.
The number of admissions after September was very small - only 32
cases for the period September to January 1940, these including cases of
positive swabs.
The iron lung was used in one of the fatal cases, with great success,
but unfortunately the child died subseouently through suddon heart failure.
TYPHOID AND PARA. TYPHOID FEVER.
During the year 4cases of typhoid fever or para typhoid fever were
admitted and in all cases the diagnosis was confirmed. Two deaths
occurred amongst the four cases, one being a case of toxic typhoid fever;
the other a case of para typhoid fever complicated by pneumonia.
PUERPERAL FEVER
During the year 11 cases of puerperal fever and 10 cases of puerperal
pyrexia were admitted. Two deaths oeeurred amongst the puerperal fever
cases both duo to septicaemia.
Of the cases of Puerperal Fever 5 were complicated by other diseases,
as follows
2 wore complicated by thrombo phlebitis of leg.
1 was " " Polvic thrombo phlebitis and bilateral salpingitis
1 " " " infective endocarditis
1 " " " influenza.
ERYSIPELAS
There were 15 cases if Erysipeas admitted, 16 less than in 1938.
In 4 cases the diagnoses wore not confirmed, they were as follows
1 ease of cellulitis of face.
1 case of cellulitis of axilla.
1 case of cellulitis of leg.
Excluding these cases were 11 cases of true Erysirelas. The
disease was of average severity. Two deaths occurred amongst them, one
being complicated by cerebral haemorrhage, the other by chronic myocarditis.
WHOOPPING COUGH
There were 29 cases of whooping cough, a fall of 18 cases on 1938. The
disease was of average severity. There were two deaths both complicated
by broncho pneumonia.
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