The diphtheria death rates in the large cities of Great Britain in 1924 (Table 1) were on the whole very similar to those observed in the large cities of the United States for the same year.1 The range, however, was somewhat greater (in the United States, from
1.6 to 23.0; in Great Britain from 0.0 to 25.7). A larger proportion of the British cities had a rate of under 10 (73 per cent. as compared with 54 per cent of the cities in the United States). The Scottish cities
Glasgow, Edinburgh and Dundee all report high rates; that of Aberdeen is relatively low. The average death rate from diphtheria in the Scottish cities for the preantitoxin period 1858-1895 was much higher than that of most English towns. Manchester had a death rate eight times that of Birmingham, and London had a rate almost exactly like that of New York.
DIPHTHERIA IN CERTAIN LARGE CITIES OF EUROPE IN 1924. JAMA. 1926;86(3):194. doi:10.1001/jama.1926.26720290002015
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