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27
398 cases were notified during the year. 362 of these were removed
to Isolation Hospital from Tottenham and 6 from General Hospitals in
London. Deaths numbered 13.
Of the cases removed to hospital from Tottenham, 246 were taken
to the Metropolitan Asylums Board's Hospitals, 75 to the London Fever
Hospital, and 41 to the Southgate Isolation Hospital. The average
duration of stay in hospital of those cases treated to a conclusion was:-
M.A.B. 74.3 days, London Fever Hospital 49.5 days, Southgate
36.0 days.
50 of the cases admitted to hospital had been wrongly diagnosed,
as follows:—Tonsillitis 33; "Sore Throat," 4; "Not Diphtheria," 3;
Scarlet Fever, 2; Tonsillitis and Rubella, 1; Peritonsillar Abscess, 1;
Quinsy, 1; Tonsillitis and Mumps, 1; Diphtheric Laryngitis, 1;
Rhinorrhoea, 1; Acute Laryngitis and Chronic Bronchitis and Asthma, 1;
Acute Tonsillitis and Lobar Pneumonia and Bronchitis, 1. The average
residence in hospital of these patients was 29.7 days.
Quite a considerable number of patients discharged from hospital,
and not a few persons who have been in contact with diphtheria patients
at home, show by swabbing that they are harbouring the Klebs Loeffler
Bacillus (or one indistinguishable from it microscopically) in nose or
throat. With a view of shortening the period during which these patients
and "positive" contacts will be excluded from school or kept in seclusion,
Vaccine Treatment has been given with, in most cases, satisfactory
result. In the remainder the enlarged condition of the tonsils or post
nasal adenoid tissue points to the necessity for the rembval of these
hypertrophical glands.
Immunization against Diphtheria infection is urged in that section
of the Report relating to Maternity and Child Welfare.
Diphtheria Anti-toxin may be had upon a Doctor's request at the
Town Hall during office hours and at the Central Fire Station, adjoining
the Town Hall, at all hours (day and night), when the Town Hall is
closed.
The home address of the Sanitary Inspector on duty is posted' at the
front door of the Town Hall, and application may be made to him for
his attention in respect of cases of infectious disease requiring removal
at any time when the Town Hall is closed.