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10 (4.8), mastoiditis in 4 (1.9), rhinorrhoea in 18 (8.7), abscess in 9
(4.3), albuminuria in 10 (4.8), nephritis in 1 (0.5) and rheumatism 5
(2.4). 4 suffered from secondary sore throat and one from a
relapse.
Operations.—Major: Mastoid operations were performed on three
cases, two of these patients also suffering from measles.
Minor: there were two minor operations, both being incisions
of cervical glands.
Double infection.—One patient was incubating measles on admission;
another patient admitted with otorrhoea was recovering
from both scarlet fever and measles.
Cross infection.—Nil.
Serum treatment.—Serum was given in 73 cases, 10 c.c.s. to 37
and 20 c.c.s. to 36. Reactions followed in practically 50 per cent.,
being slightly more common after an injection of 20 c.c.s. 26 (or
35.6 per cent.) of serum treated cases developed complications as
against 47 (or 34.8 per cent.) of untreated cases.
Serum was given in 7 cases in whom immunization against
diphtheria had previously been carried out. Reactions followed
in four cases. Only 19 cases out of the 246 admitted gave a history
of having been immunized against diphtheria.
Diagnosis.—The Dick test was used for diagnostic purposes in 31
instances and the Schultz-Charlton reaction once.
Return cases.—There were 7 return cases following the discharge
of patients from the local hospitals.
Measles.
Admissions.—91 cases were admitted on a diagnosis of measles,
in all of which the diagnosis was confirmed.
Period of stay.—The average length of stay of all cases was 16 days,
the average stay of uncomplicated cases being 8.9 and of complicated
cases being 26.9 days.
Deaths.—There were two deaths, giving a case mortality of 2.2 per
cent. One was a case in the late stages of diphtheria admitted at
the onset of measles and who suffered at this time from bronchial
pneumonia. The second case developed mastoiditis, was operated
on the 19th day but, in spite of a second operation, developed
meningitis.
Complications.—36 (or 39.6 per cent.) of the cases developed complications,
bronchitis occurring in 14, bronchial pneumonia 3,
mastoiditis 4, blepharitis 5, otorrhoea 9, corneal ulcer 1, and
adenitis 2.
Operations.—Mastoid operations were performed on five patients,
two requiring a bilateral operation.
Double infection.—One case was incubating chicken-pox on admission.