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11
years. Four cases were fatal. 106 of those cases were
treated in hospital. 26 cases were notified from the
North Surrey District Schools.
The outbreak of Scarlet Fever took place shortly
after I took office in June.
In conjunction with the School Medical Inspectors
I took immediate measures to cope with it by isolating
contacts, individual inspections of scholars, &c.
The outbreak was traced to two "missed cases" at
Oakfield Road School.
These cases, when there is a slight sore throat, a
transient rash and little or no malaise, are very easily
overlooked by parents, the first intimation of the
malady being peeling of the hands or feet, the child
having meanwhile spread infection broadcast.
diphtheria and membranous croup.
There were 41 cases of diphtheria in 1908, as against
54, 36, 21, 23, 18 and 25 for the previous six years. Of
this number 32 were treated in Hospital, two of whom
died.
enteric fever.
Five cases of enteric fever were notified, as against
26, 5, 1, 5, 4, and 11 in the previous six years. One of
these cases was discharged from hospital as not suffering
from enteric.
Case 1. Female, age 29. Notified on the 4th July,
1908, and Case 10, notified Aug. 8th, 1908. Female,
age 31. Both referred to in last year's Report continue,
I regret to say, chronic " carriers." Dr. Theodore