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

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Hendon 1933

[Report of the Medical Officer of Health for Hendon]

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56
DIPHTHERIA.— 1931. 1932. 1933.
Cases discharged or died, notified
Diphtheria 148 135 139
Cases found to be suffering from
Diphtheria on admission 117 127 135
Deaths from Diphtheria 5 6 3
Case Mortality Rate (corrected)
approx. 4.3% 4.7% 2.2%
Of the three deaths from Diphtheria, two were due to the laryngeal
type of disease, tracheotomy being necessary in both cases. The other case
died from haemorrhage and cardiac failure.
Double Infections.—
Six cases of Diphtheria were found to be suffering also from Scarlet
Fever on admission; two cases of Diphtheria had concurrent Whooping
Cough, one of these developing Scarlet Fever whilst in hospital.
Complications.—
Following are the complications met with among the completed cases
of Diphtheria :—
Cardiac paresis 1
Bradycardia 3
Cardiac irregularity 9
Haemorrhage and cardiac failure 1
Extra systoles 4
Mitral stenosis 1
Palatal Paresis 4
Ocular Paresis 2
Nephritis 1
Otitis 2
Adenitis 5
Haematuria 1
Rhinorrhœa 1
Peritonsillar abscess 2
Tonsillitis 1
Conjunctivitis 1
Cellulitis of face 1
Furunculosis 1
Septic finger 2
Septic knee 1
Serum Reactions :—
Urticaria 8
Erythema 3