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23
Cases of Otorrhoea and Rhinorrhoea of long-standing before the onset
of Scarlet Fever have been excluded, but all cases that have been
definitely associated with Scarlet Fever have been included in this list.
All cases of complications arising in the course of Scarlet Fever
have been periodically visited, and at the date of writing the Report
(March, 1927) they had cleared up, with one exception (Albuminuria).
During 1926, 81 persons were discharged from M.A.B. Hospitals,
having been admitted during 1924, 1925 and 1926 as suffering from
Scarlet Fever. Their stay in hospital extended to the following periods :•—
Under 30 days .. 4 cases.
30 and under 60 days 56 ,,
60 and under 90 days 13 ,,
90 and under 120 days 7 ,,
735 days .. .. 1 case.
The average duration of residence was 62.0 days. The shortest period
of residence was 11 days and the longest 735 days.
Nine of the cases removed to hospital had been wrongly diagnosed,
3 being Erythema, 2 Tonsillitis, 1 Measles, 1 Measles and Bronchitis,
1 Flannel Rash and 1 "Not Scarlet Fever." The average residence in
hospital of these patients was 41 days.
Diphtheria.—Commencing the middle of September, the incidence
of Diphtheria rapidly increased from an average of 4 per week to 36 in
the week ended October 6th. Thereafter there was a gradual declension,
but at the end of March. 1927, the date of writing, the normal level has
not been reached.
Of the 495 cases notified, 459 were removed to M.A.B. Hospitals
from Tottenham, and 10 from General Hospitals in London. 1 case was
removed to the London Fever Hospital. Deaths numbered 19.
11 cases were removed from the local general hospital; 7 were
in-patients who came from other districts and 4 were nurses.
The duration of residence in hospital of those patients who were
discharged during 1926, having been admitted during 1925 and 1926
as suffering from Diphtheria, was as follows:—