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

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Hendon 1935

[Report of the Medical Officer of Health for Hendon]

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Complications.

Following are the complications encountered among tin completed cases of Diphtheria:—

Paresis, cardiac2
Paresis, palatal4
Strabismus2
Otitis4
Adenitis4
Albuminuria2
Myocarditis1
Pharyngeal Paresis1
Mastoiditis1
Ophthalmia1
Vaginal discharge1
*Sores3

* Present on admission.
Average Stay in Hospital of recovered cases of true Diphtheria
was 66.1 days, an increase of 9.6 days compared with the
corresponding figure of 56.5 days for 1934, and 6.9 days more
than the average over the five-year period, 1930-1934 inclusive,
of 59.2 days.
Type of Disease.
The type of disease admitted during the year 1935 was, in
the main, of a much more serious nature than that of the two
preceding years. The gravis type preponderated, and this is
accountable for the much higher death rate recorded. In this
type of affection it would appear that the administration of
antitoxin, if delayed beyond the first or second day, is of little
effect in combating this very grave form of illness, even if very
large doses are administered.
Return Cases.
No return cases of Diphtheria occurred during the year.