On the Progress of Preventive Medicine During the Victorian Era

Cover On the Progress of Preventive Medicine During the Victorian Era
On the Progress of Preventive Medicine During the Victorian Era
R Thorne Richard Thorne Thorne
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By some the disease is regarded as having distinct alliance with scarlatina, there being no 46 ON THE PROGRESS OF PREVENTIVE MEDICINE clearly defined boundary-line dividing affections which, in their more marked forms, present obvious differentiating characteristics ; and the views which were expressed by Dr. Franklin Parsons, in the paper which he read before the Epidemiological Society during the Session 1883-84, are worthy of careful consideration in this connection. It is also interesting t...o note that, whilst in the three quin- quennial periods ending 1885 there was a diminution in the scarlatina death-rate for England and Wales, there was a coincident increase for that of diphtheria. Thus, for the periods 1871-75, 1876-80, and 1881-85, the scarlatina death-rate per 100, 000 living in England and Wales was 75'8, 67'9, and 43'4 respectively, whereas the corresponding diphtheria rates were 12'1, 12'2, and 15*6.
How far this may be a question of nomenclature brought about as the result of improved diagnosis it is difficult to say ; but there can be but little doubt that, quite apart from any such consideration, there is evidence to show that, for some cause or another, diphtheria has, during recent years, exhibited a tendency to increase, and to acquire a more permanent stability of type amongst us.


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