Appendix to Third report of the Commissioners : minutes of evidence, April to July, 1907.
- Great Britain. Royal Commission on Vivisection (1906)
- Date:
- 1907
Licence: Public Domain Mark
Credit: Appendix to Third report of the Commissioners : minutes of evidence, April to July, 1907. Source: Wellcome Collection.
222/272 page 216
![Mor TALITY OF DIPHTHERIA FOR THE COUNTY OF Vienna.—Siegert Jahrbuch for Kinderheilkunce, 1902. Mr. C.J. CASE oh) Lonpon. Caleutated from the carves in Report of the s-of- diphtheria. teh Public Health Committee, L.C.C., 1904. So RRE Wa AE SORA ORO ae PRS. Year. Per cent. Mortality 10 July 1907. 1892 sits eoydstont, - digdhe Year. per cent. os (1893 oS ae he witty 4 1894. r re 5 : 232 1892-4 > oe i 3 id 41 ay REMY fate a 20 1895 (Antitoxin introduced) - 20°4 1895-7 1896 Oe eect tet hc eaean DOR, Bupa-PE-TH.—St. Ladislaus Hos} ital (Gertoezy, Wiener 1897 166 Klinisehe Rundschau, 1896). 1898 i x s é : - 15:0 » Number of Mortality Neat cases, per cent. | 1899 - - - - - - 13°3 a 1 1900: ai- aiteiibdhett weyt it 121 1893 ie) Yi tl ee 94 peal 213 48-8 1901 ie y 5 11°6 1894 - = - - 29) 44°9 1902 : = se < = 10°8 1895* - P- 5 i 401 19-9 x ~ : . - - 10:0 at * Commenced using Antitoxin. 1904 : - - 10°0 Russia.—St. Petersburgh Hospital, Rauchfuss. (XII. International Medical Congress, Moscow, 1897. Centralb. Rae f. Bakt. Vol. 25.) CASE mortality from Diphtheria in 31 of the largest English towns from 1894 to 1904. (Armstrong, 33rd Annual Report of the M.O.H. Newcastle-upon-Tyne for 1905. ere Chaba? Mortality Appendix E). per cent. Per cent. panes ug Shad void ASE he 1A7004 pd EGU Bi 9 304 59° 1895 Se dele cnie sume ENNIS! 1S7609 (32 Go wee nee 610 48:5 St RIES ER PYRE AN HE oF RS | FB eS metal [ReGlgyP, 2 oekt RES eae rae 581 wink VilLdioe mse SBT ooh eit 1e85-9' ¢182 al Bas ig 735 552 E 2 . - - - 25°4 f nth 1g90L4 7ithst Galieyalos te 792 55-2 E + : : : 25:2 tip 1895-6 ioe wot sinidtoy 3 801 22-7 TOG: 1b ste ees) ave ince ue nce 22°7 Sie : 2 ; : 5 29:0 * Commenced using Antitoxin. 208 THE results for 51 Russian Provinces for 1895 and 1896 1902 - 7 : 7 7 (Rauchfuss Joc. cit. were as follows : — LO0G > PieR ana sat) a a ties 17°7 caest _ Mortality 1904. - . - : : : « 18:0 rh Number. per cent. In the County of London a large proportion (65 per cent.) of cases of diphtheria are removed to the Metro- Cases treated with Antitoxin- | 44,631 14-6 politan. Fever Hospitals, where nearly every case is adequately treated with antitoxin. Cases not £0 treated a pe 341 é 6,507 In the provincial towns the proportion of antitoxin- f treated cases to total cases is, I believe, considerably less. Rosenthal (Medical Press and Circular, 1900, it.; p. 293) collected the records of 132,548 cases of diph- theria treated with serum during] the’ years 1894-9, and CASE mortality in New York City from Diphtheria from 1891 to 1899. (Billings, New York Medical Journal, 1900). Year. Cases. Deaths. te NGOs te fom acn ioe ss 5,346 1,970 36°7 1SOSPER: A PSE 5,184 2,196 40°6 1809 2°) dete FG 7,021 2,558 364 Fes yl Saas ta Pea tae 8) 2,870 | 29-7. yo6*! - §. [&- ~+ | 10,853 1,976 19°1 1996 f. - |- |= 11,399 1,763 15°4 ey) ~ = Pal - | 10,8061;; 15907 eae 1808) - in PRET 7,593 923 12-2 ene eet 8,240 1,087 13°1 * Antitoxin introduced. + Use of Antitoxin became general. compared them with 183,256 collected from similar sources before the introduction of serum treatment. The results were as follows :—132,256 cases © before serum treatment, mortality 38.4 per cent.; 132,548 cases treated with serum, mortality 14.6 per cent. 11712. Where did Roux collect. those statistics ?— From Europe and America, That is simply collecting together all available statistics from various countries, 11713. You have some general conclusions which you draw from those statistics?—In drawing conclusions from statistical data of this kind it is obvious that other factors may have to be examined and taken into account as well as serum or no serum. The incidence of a disease like diphtheria is not uniform. It occurs in waves. In certain years it is more prevalent than in others, and no doubt the severity of the disease also varies somewhat in different periods. Another factor which will undoubtedly have modified the case mortality of diphtheria is the adoption of a more accurate method of diagnosing the disease by bacterio- logical examination. This will most certainly have led to the wider recognition of the disease in mild and atypical cases, and therefore to the inclusion in the statistical data of a number of less severe cases of the disease. The influence of this factor in dimin- ishing the case mortality cannot be directly measured. The universal decline in case mortality coincident](https://iiif.wellcomecollection.org/image/b32182181_0222.jp2/full/800%2C/0/default.jpg)
