View report page

care should be taken that the nozzle of the apparatus be kept
in a germicidal solution. On the expiration of the quarantine
the patient should be sent home, whether the discharge has
ceased or not, and the room should be disinfected prior to the
reception of another patient. The subsequent history of the
case should be investigated.
(III). That the inquiry into the facts connected with
the incidence of return cases at the Managers' hospitals should
be continued for a further period of twelve months, and that
the scope of the inquiry should include the history of the
cases discharged under the conditions mentioned."
The medical superintendents of the several hospitals have been
authorised, provided that the efficiency of their hospitals is in no
way impaired, to carry out the suggestions contained in recommendations
(I) and (II). As regards recommendation (III), the
Hospitals Committee have in contemplation arrangements for the
continuance of the investigation for a further period.
Diphtheria.
There was again an increase in the prevalence of this disease
in Fulham, 630 cases of diphtheria and 11 of membranous croup
which is identical with laryngeal diphtheria, being notified ; the
incidence-rate being 4.6 as compared with 3.2, 3.8 and 4.0 in the
three preceding years.
During the first 9 months of the year there was no very exceptional
prevalence of diphtheria as compared with the three previous
years, 378 cases being notified during that period, but the usual
autumnal rise was much more marked than heretofore, and the
disease assumed epidemic proportions in the Sands End and
Munster Wards.
The occurrence of several cases among the children in one of
the classes in the infants' department of Langford Road Board
School, led the "Vestry to require the Managers to close the classroom
and to exclude the children living in the same houses as the
children attending that class. The London School Board appealed
to the Education Department against the action of the Vestry