Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for Malden and Coombe]
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16
Although more numerous than last year, the number, considering the
extensive epidemic in London, was small.
Treated in Hospital 43
Treated at Home 11
Total 54
Twenty-seven cases occurred in Public Schools.
Twelve under five years and ten adults.
Five in Private Schools.
Forty-three cases were admitted to Hospital, forty-one receiving
treatment, and the other two being returned as mistaken diagnosis.
DIPHTHERIA.
This disease was fairly distributed throughout the year, twentytwo
cases were notified; being two less than last year.
Tieated in Hospital 18
Treated at Home 4
Total 22
One case sent to Isolation Hospital was subsequently found to
have been mistaken in diagnosis.
March and August were the only months in the year without a
case being notified.
A most interesting case occurred in a child, aged five years, who
died in Tolworth Isolation Hospital from Post Diphtheritic
Para/lysis. The child had a sore throat, three specimens were taken
from his throat at short intervals, they were examined by three
independent bacteriologists who each reported the organism as
pseudo-diphtheritic (Hofmann). Hitherto this bacillus has been only
regarded with suspicion, but if the pseudo bacillus is so virulent as
to produce Post Diphtheritic Paralysis and death, the only practical
and safe treatment for the future will be to treat all pseudo cases as
Diphtheritic and at once inject them with Antitoxin.
TYPHOID FEVER.
One case was notified during the year.