Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for Hendon]
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DIPHTHERIA. | 1933. | 1934. | 1935. |
---|---|---|---|
Cases discharged or died, notified Diphtheria or ? Diphtheria | 139 | 148 | 154 |
Cases found to be suffering from Diphtheria on admission (including Bacteriological . Diphtheria) | 135 | 114 | 137* |
Deaths from Diphtheria | 3 | 3 | 11 |
Case mortality rate (calculated on number of cases of Clinical Diphtheria) | 2.2% | 2.9% | 8.5% |
* 129 Clinical Diphtheria; 8 Bacteriological
Diphtheria only.
Of the 11 deaths from Diphtheria, one was due to the laryngeal
type of disease. The patient was admitted on the 2nd day of
disease, tracheotomy being performed upon admission; death from
pulmonary complications occurred after 5 days in hospital.
In another case death was due to late cardiac paralysis,
following nasal diphtheria, and occurred after 52 days in hospital.
In this instance, the patient was admitted on the 6th day of
disease.
A third case died, after 8 days in hospital, from acute
myocarditis due to diphtheria, the patient having been admitted on
the 2nd day of disease.
Eight further deaths occurred from general toxaemia due to
diphtheria, two within 2½ hours and 10 hours of admission respectively,
and the remainder after periods varying between 2 and 8
days. One of these patients was admitted on the 6th day of
disease, one on the 4th, two on the 3rd, and the remaining four
on the 2nd day of disease.
In none of the 11 cases was antitoxin administered before
admission to hospital.