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

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Hendon 1938

[Report of the Medical Officer of Health for Hendon]

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DIPHTHERIA.

1936.1937.1938.
Cases discharged or died, notified as Diphtheria or ? Diphtheria100119221
Cases found to be suffering from diphtheria on admission (including bacteriological diphtheria)5478165*
Deaths due to diphtheria445
Case mortality rate (calculated on number of cases of clinical diphtheria)7.5%5.1%3.7%

*132 diphtheria.
1 diphtheria, Vincent's angina and streptococcal throat.
1 diphtheritic infection of ear.
31 bacteriological diphtheria.
165
Five deaths due to diphtheria occurred during the year.
The first of these was a Harrow case, a child aged two years
admitted on the 6th day of disease, who died on the 10th day
in hospital. Another case, a boy aged 7 years, was admitted
on the 2nd day of disease, suffering from laryngeal diphtheria
complicated by septic tonsillectomy wounds. Tracheotomy
was performed but the child died as the trachea was opened.
Two further cases in which "bull-neck" development was
present on admission died on the 8th day and the 4th day in
hospital respectively. The first of these was a boy aged ,6
years, admitted on the 6th day of disease, and the other was
a female patient aged 20 years, admitted on the 2nd day of
disease. In none of the above cases had antitoxin been
administered prior to admission. The remaining case was
one in which antitoxin had been given before removal to
hospital. The patient was a boy aged 14 years (admitted on
the 4th day of disease) who died on the 16th day in hospital
of toxic myocarditis due to diphtheria.