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6
Diphtheria. There were 39 notifications of which only 2
gave bacteriological proof of diphtheria. Neither of these cases
was severe; one patient had been actively immunised. These
figures include 4 cases notified as laryngeal diphtheria which
proved to be non-diphtheritic laryngitis. In addition, 3 suspected
carriers were investigated and found to be free from infection.
One case was diagnosed as cerebral haemorrhage and died
shortly after admission. Another succumbed from acute bronchopneumonia.
The following cases were admitted as suffering from
diphtheria and the diagnosis altered as shown.
Tonsillitis 25
Laryngitis 4
Scarlet fever 2
Mumps 1
Vincents' angina 1
Post tonsillectomy exudate 1
Cerebral haemorrhage 1
Bronchopneumonia 1
Chickenpox 1
Scarlet Fever.—Scarlet Fever admissions numbered 118,
(57 from Ealing and 61 from Brentford & Chiswick).

The following complications were encountered either on
admission or during the course of treatment:
Otitis Media 7
Rhinitis 5
Cervical adenitis 4
Chickenpox 3
Secondary tonsillitis 3
Measles 3
Whooping Cough 2
Serum reaction 2
Bronchopneumonia 3
Furunculosis 1
Bronchitis 1
Herpes labialis 1
Pemphigus 1
Myocarditis (mild) 2
The patient under 1 year developed acute broncho-pneumonia
which proceeded to empyema and the infant died. The case of
pemphigus was a recurrence of a persistent staphylococcal infection
that proved very resistant to treatment. The cases of chicken-pox
were admitted in that state. One case was admitted while incubating
measles and cross-infected 2 others. Two sisters were
admitted suffering from scarlet fever and severe whooping cough.
The following cases were notified as Scarlet Fever but diagnosis
had to be amended as shown:
Tonsillitis 7
Tinea vesicolor 1