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Of the cases admitted on account of the clinical condition, 15
suffered from an acute illness, severe throat involvements eight,
otorrhoea two, mastoid involvement two, rheumatism two, abscess
of neck and albuminuria one each ; concurrent other illness eight,
Home Treated Cases.
Of the 221 cases treated at home, a larger number suffered
from some complication that had happened in previous years.
Cervical adenitis occurred in 10% of eases, most, commonly in the
second and third weeks. Most clcared up within the fortnight
though a number lasted three weeks. One child was removed to
hospital for the opening of an abscess in a suppurating gland.
Rheumatism seemed less common, namely, 2% though more
severe and two cases were admitted for treatment of this condition.
Otorrhoea occurred in 3% of cases, the first week again being the
commonest period of onset. Some cleared in the second, hut
others were not clear until the fifth week. One child became very
(leaf in the fourth week but suffered from no discharge, whilst
another child was admitted on the tenth day on accoutnt of mastoid
complications. Rhinorrhœa occurred in 2% of eases, chiefly in the
second week and mostly persisted for two weeks. Of the other
children admitted later on account of complications, one was sent
in in the second week suffering from stomatitis, another admitted
the same date with albuminuria and one child was admitted in the
fifth week owing to cardiac complications.
Secondary Infection.
Of the 02 secondary infections, 14 were subsequent to a
primary case which was removed to hospital on receipt of notification.
The remaining 4S followed a primary case which was home
treated (including for this purpose, those eases which began home
treatment but were subsequently removed to hospital). Of these
latter, a large number of cases would have occurred even had then
been ample accommodation. In 14 of them, infection had occurred
before a medical attendant had been called in to the primary case,
in many instances both cases being notified together. Five other
cases followed on three missed eases in which the illness of