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Vaginitis 4 „ „ 0.55 „ „
Endocarditis 2 ,, ,, 0.27 ,, ,,
Transient cardiac
murmurs 6 ,, ,, 0.82 ,, ,,
Septic Sores and
Abcesses 33 ,, ,, 4.56 ,, ,,
Including the stay at the Convalescent Home, the average
duration of residence of all cases was 47 days.
Diphtheria.
At the beginning of 1930 there were 91 cases in residence.
817 cases, notified as diphtheria were admitted during the year,
and 719 of these proved to be suffering from the disease, making
a total of 810 cases under treatment. Of these, 707 were discharged
recovered, 24 died, and 79 remained under treatment at
the end of the year.
53 cases suffered from post diphtheritic paralysis. This was
mild in 32 cases and severe in 21 cases.
Of 86 cases which had been notified as laryngeal diphtheria,
65 proved to be rightly diagnosed. Tracheotomy was performed
in 32 of these cases, and 9 of them proved fatal, giving a fatality
rate of 28.12 per cent. of the cases operated on, which compares
with 32.25 per cent. in the previous year. Two of the fatal cases
were complicated by measles, and one was complicated by whooping
cough. The average age of the cases was 4½ years, and the
average amount of antitoxin administered to them was 36,000
units.
Seventeen deaths occurred among the 666 proved faucial and
nasal cases discharged, giving a fatality rate of 2.55 per cent.,
which compares with 3.38 per cent. in the previous year. The
duration of illness of the fatal cases on admission averaged 4.36
days, and their average age was 5½ years. Excluding three cases
which died from post diphtheritic paralysis, the average duration
of residence was 6 days. The amount of antitoxin administered
to the fatal cases averaged 74,000 units. The average amount of
antitoxin given to all the cases was 22,000 units.
Corrected diagnosis :—98 cases notified as diphtheria proved
to be wrongly diagnosed, and were found after admission to be
suffering from the following complaints :—
Tonsillitis, 41 ; Laryngitis, 21; Measles, 6; No disease, 7;
Rhinitis, 4; Quinsy, 4; Vincent's Angina, 3; Bronchitis, 3;
Mumps, 1 ; Abscess of neck, 1 ; Pharyngitis, 2 ; Polio encephalitis,
] ; Scarlet Fever, 1 ; Whooping Cough, 1 ; Meningitis, 1 ; Leukaemia,
1.
Typhoid Fever.
One case was in residence at the beginning of the year, and
five cases were admitted which proved to be suffering from the
disease. All recovered. Three other cases which had been notified
as typhoid fever proved to be suffering from gastro-enteritis.
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