Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for Walthamstow]
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MONTHLY ADMISSIONS OF DIPHTHERIA CASES.
| Month. | Under 5 years. | 5—10 years. | 10—15 years. | Over 15 years. | Total. | Total. | |||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| M. | F. | ' M. | F. | M. | F. | M. | F. | M. | F. | ||
| January | 7 | 2 | 4 | 5 | 2 | 2 | 2 | 1 | 15 | 10 | 25 |
| February | 3 | 5 | 5 | 8 | 3 | 5 | - | — | 11 | 18 | 29 |
| March | 2 | — | 3 | 2 | 1 | 1 | - | 3 | 6 | 6 | 12 |
| April | 3 | 5 | 1 | 5 | 1 | - | — | 2 | 5 | 12 | 17 |
| May | — | 1 | 1 | 2 | — | 1 | 1 | — | 2 | 4 | 6 |
| June | — | — | 2 | — | 1 | — | — | — | 3 | — | 3 |
| July | 1 | 1 | 2 | 1 | 2 | l | - | — | 5 | 3 | 8 |
| August | 7 | 3 | 5 | I | 1 | l | 1 | 1 | 14 | 6 | 20 |
| September | 4 | 2 | 3 | 5 | 1 | 1 | — | 1 | 8 | 9 | 17 |
| October | 4 | 1 | 2 | 3 | 1 | l | - | 1 | 7 | 6 | 13 |
| November | 1 | 1 | 3 | 7 | 3 | 2 | 1 | 1 | 8 | 11 | 19 |
| December | 4 | 3 | 3 | 2 | - | 2 | 1 | — | 8 | 7 | 15 |
| Totals | 36 | 24 | 34 | 41 | 16 | 17 | 6 | 10 | 92 | 92 | 184 |
The cases of Diphtheria were classified as follows:—
Bacteriological, 85; Mild Faucial, 77; Severe Nasal, 5;
Mild Nasal, 9; Mild Laryngeal, 6; Hemorrhagic, 2.
Cases Transferred to Cubicle Block from Diphtheria Block.
Scarlet Fever, 5; Whooping Cough, 4; Tonsillitis, 3;
Influenza, 5; Whooping Cough contacts, 3; Mumps contacts,
2; Ringworm, 3; Vaginal Discharge, 2.
Complications.
Late cardiac paralysis—severe—good recovery 1
Palatal Paresis 4
Palatal and Pharyngeal Paresis 1
Two children, brother and sister, developed Cough within the incubation period after their admission to
the Diphtheria Ward. It was stated that they had had
Whooping Cough in the previous winter. Four children
developed Whooping Cough; one had concurrently some
pharyngeal paralysis.
Fourteen patients were given intravenous antitoxin, the
dosage being as follows:—16,000 units to twelve cases and
32,000 units to two fatal lisemorrhagic cases. Intramuscular
antitoxin was, of course, given in addition.