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45
Period of Stay.—The average length of stay in hospital of
all cases was 31.1 days; for clinical diphtheria cases 40.2 days;
and for carriers 23.3 days.
Deaths.—Number of deaths, 1.
Case mortality rate.—2.86.
The fatal case was admitted on the eighth day of disease,
dying thirteen hours after admission.
Complications:—Paralysis, palatal 4, and external ocular 1;
nephritis 1; otorrhoea 1; albuminuria 12.
Double Infection.—One case on admission was suffering from
scarlet fever and diphtheria, while another was incubating scarlet
fever when admitted.
Cross Infection.—One patient contracted scarlet fever while in
hospital.
Day of Disease on Admission.—The following summarises the
information with regard to the stage of development of the
disease at the time of the admission of the patient :—
9th
and
Day 1st 2nd 3rd 4th 5th 6th 7th 8th over
Number of cases 2 6117 3 2 2 1 1
Serum.—The average amount of serum used per case was
17,314 units.
Bacteriological Examination.—Since 25th July swabs have been
examined for the Klebs Loeffler bacillus at the Rayners Lane
Hospital. 567 swabs were examined, 256 being sent in by general
medical practitioners, of which 19 were positive; 89 swabs of
patients admitted on the diagnosis of diptheria, of which 12 were
positive; and 222 swabs of patients admitted with scarlet fever,
of which 10 were positive.
Scarlet Fever.
Admissions:—
Number of patients admitted with the diagnosis of
scarlet fever 332
(250 to Rayners Lane and 82 to Honeypot Lane)
Number of patients in whom diagnosis confirmed 324
Of the remaining eight cases three were suffering from
bronchitis, one from asthma and four from erythema.
Period of Stay.—The average length of stay of all cases was
33.2 days; for the uncomplicated cases, 26.6. (These averages
are based on the 314 cases which completed their treatment during
the year.)
Deaths.—Number of deaths, 2.
Case mortality rate.—0-62.
The first of these fatal cases was a girl of four admitted on the
seventh day of disease. There were slight signs of a rash on the