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DIPHTHERIA.—There were 13 cases of diphtheria admitted
—11 from Ealing and 2 from Brentford and Chiswick. The age
distribution of these were as follows :—
Under 5 5—10 11—15 16—20 21—25 26—30 31—40 Over 41
0 4, 3 2 1 0 2 0
This low incidence of diphtheria shows a well marked decline
on that of previous years which is part of the continuous reduction
in the incidence of the disease since the introduction of diphtheria
immunization. All cases were mild, but two patients who persistently
remained carriers had to have their tonsils removed. The
average period in hospital for all cases was 46 days.
In addition to the above cases, three admissions were
diagnosed as diphtheria carriers. The following cases were admitted
as suffering from diphtheria and the diagnosis altered as
shown.
Tonsillitis 18
Vincents Angina 3
Cervical Adenitis 1
Bronchitis 1
Laryngitis 1
Peritonsillar Abscess 1
Infectious Mononucleosis 1
Nasopharyngitis 1
Streptococcal Sore Throat 3
Ulcerative Stomatitis 1
SCARLET FEVER.—Scarlet Fever admissions numbered
126 (87 from Ealing and 39 from Brentford and Chiswick).
The age distribution of the cases was as follows:—
Under 1 1—2 3—5 6—10 11—15 16—25 26—45 Over 45
1 7 33 57 20 4 4 0

The majority of the complications were of a mild type. Thus
4 out of the 9 cases of otitis media subsided without otorrhoea
and only one case of cervical adenitis developed a glandular abscess.
42