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Another case died of paralysis in the 40th day of illness:
while the duration of residence of the other 5 averaged only 8
days. All the cases were under 5 years of age and had been ill
for an average of 4 days on admission. The amount of antitoxin
administered was 76,000 units.
Corrected diagnosis:—145 cases, notified as diphtheria,
proved to be wrongly diagnosed and were found after admission
to be suffering from the following complaints :—
Tonsillitis, 82; Pharyngitis, 10; Laryngitis, 20; Quinsy, 4;
Bronchitis, 4; Br. Pneumonia, 2; No Disease, 5; Enteritis, 2;
T.B. Meningitis, 2; Measles, 5; Scarlet Fever, 3; Nephritis, 2;
Septicaemia, 1; Whooping Cough, 1; Adenitis, 1; Marasmus, 1.
Of these, 12 proved fatal, as follows :—
Bronchitis, 1; T.B. Meningitis, 2; Pharyngitis, 3; Quinsy,
1; Enteritis, 2; Septicaemia, 1; Nephritis, 1; Marasmus, 1.
Typhoid Fever.
Eight cases, notified as typhoid fever, were admitted, and 2
of them proved to be suffering from para-typhoid B. Both had
mild attacks and made a satisfactory recovery. The other 6 cases
were suffering from the following complaints :—Gastro-enteritis, 3;
Appendicitis, 1; Multiple Abcesses, 1; Abdominal Tumour, 1.
Measles.
An epidemic of this desease appeared in the district during
December, 1931. At the beginning of 1932, 8 cases were in residence
and 282 were admitted during the year, making a total of
290 cases under treatment. Of these, 256 were discharged, 33
died, and 1 remained under treatment at the end of the year.
With the exception of 3 nurses and 2 other adults, the patients
were all children under 6 years of age, and 28 of the 33 fatal cases
were under 3 years of age. Broncho-pneumonia was present as
a complication in 31 of the fatal cases and whooping cough in 2
cases.
Twenty-four cases suffered from marked laryngeal involvement,
but in no case was it so severe as to require tracheotomy.
The disease was complicated by the presence of whooping cough
in 9 cases and by nasal diphtheria in 14 cases. Otorrhoea was
present in 37 cases.
The fatality rate was 11.70 per cent. of the cases admitted.
Whooping Cough.
The number of cases under treatment was 124. Of these, 89
were discharged recovered, 14 died, and 21 remained under treatment
at the end of the year. Twelve of the fatal cases were under
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