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

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Woolwich 1902

[Report of the Medical Officer of Health for Woolwich]

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29
Diphtheria when I saw her, and one was found to
have the Diphtheria germs in a nasal discharge.
Four others were found to have pseudo Diphtheria
germs in nasal discharges from which they suffered,
In addition to these I found, on visiting the houses,
three pupils of this school, and one pupil at another
school, with undetected Diphtheria, not under medical
treatment. Three of these were in attendance up to
the day preceding my visit.
With the exclusion of the children above mentioned, the
outbreak at Ancona Eoad School has abated."
44. The measures described above had the desired effect,
and during January of the current year, there was only a total
of 17 cases of Diphtheria in the Borough, and only one was a
pupil of Ancona Eoad School.
45. Bacteriological diagnosis. Secretion from 97 cases of
suspected Diphtheria was examined at the Jenner Institute.
The presence of Diphtheria bacilli was shewn in 27 cases, and
in 7 cases pseudo-Diphtheria bacilli were found, or a total of
34 positive results. In 1901, 26 cases were examined with 7
positive results.
21 cases, or 11 per cent, of admissions were reported not to
be diphtheria, after removal to Hospital. In two of these a
bacteriological examination had been made on behalf of the
Borough Council, in one with a positive, and in the other with
a negative result. In 1901, 12 per cent, of admissions were
reported to be a " mistaken diagnosis."
I have no doubt, that the speedy way in which the epidemic
prevailing at the end of the year was brought to an end, was
largely due to the facilities provided for bacteriological
diagnosis.