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5
Dr. A. Miller, the Consulting Oto-Larvngologist, made nine
visits to the Hospital during the year and performed four mastoid
operations and four operations for the removal of tonsils and
adenoids.
Mr. Gordon Bryan, the Consulting Surgeon, made four visits
to the Hospital.
Return cases.—Of the 430 cases discharged during the year
five gave rise to "return" cases of scarlet fever. This gives a low
return case rate of 1.2 per cent.
Duration of Stay.—The average duration of stay in Hospital
of all cases of scarlet fever was 37 days.
Deaths.—There were four deaths of patients admitted with a
diagnosis of scarlet fever. Particulars of these are as follows :—
(1) Septic scarlet fever; died of broncho-pneumonia and
empyema.
(2) Simple scarlet fever; had broncho-pneumonia just
before contracting scarlet fever and this relapsed.
Developed empyema and basal meningitis.
(3) Simple scarlet fever. Died of broncho-pneumonia and
angioneurotic oedema.
(4) Scarlet fever not confirmed. Died of influenzal
pneumonia.
The 3 deaths of actual cases of scarlet fever give a scarlet fever
mortality rate of 0.7 per cent.
Diphtheria.—The number of cases admitted as diphtheria
from the two districts was 64 from Ealing and 27 from Brentford
and Chiswick, making a total of 91, 121 less than in the previous year.
In this number are included two cases of bacteriological diphtheria
in whom there were no clinical symptoms of the disease. Of the
total number, 33 were ultimately diagnosed as not suffering from
diphtheria. The final diagnoses in these cases were as follows :—
Tonsillitis 16, measles 3, scarlet fever 2, quinsy 2,
bronchitis 1, Vincent's angina 2, tonsillitis and laryngitis 1,
tonsillitis and bronchitis 1, catarrhal rhinitis 1, no apparent
disease 1, broncho-pneumonia 1, common cold 1, chronic
otitis media 1.