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6i
Report of the Medical Officer of Health.
Scarlet Fever.
This disease was slightly more prevalent during the year,
compared with 1918, but there was no special outbreak except in
one institution in Clapham, where 31 cases occurred. The disease
was not recognised as scarlet fever on its first appearance, as the
symptoms were indefinite, but on visiting the institution I decided
that the cases were definitely scarlet fever and they were at once
removed to hospital. No deaths occurred. •
There were also series of cases occurring in an institution in
Tooting. Forty-eight cases were notified during the year, but here
also the disease was of a mild type and no deaths occurred.
None of the children in either of these institutions belonged to
the Borough, and there were no cases of illness among the general
public traceable to these institutional cases.

• In Clapham 31 eases occurred in an Institution.
†In Tooting 48 cases occurred in an Institution.
† In Tooting six cases occurred in one house.
Of the 682 houses invaded multiple cases occurred in 96, or
14 07 per cent.