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Dr. Macdonald, Consulting Surgeon to the Hospital, performed
all the operations, while, in addition, he paid 110 consultative
visits. Once again, I should like to thank him most sincerely
for his invaluable services.
Discharge Procedure.—The discharge procedure detailed in
the Report for 1933 has remained unaltered, with the addition
noted in the Report for 1935.
Period of Isolation in Hospital.—The average period of
isolation in hospital was as follows :—
Scarlet Fever.—23.1 days (longest, 76 days; shortest, 2
days—died).
Average duration, 1936—22.6 days.
Diphtheria.—68.5 days (longest, 133 days; shortest, 6
hours—died).
Average duration, 1936—59.6 days.
It will be seen that the average detention in the case of scarlet
fever increased very slightly, while, in the case of diphtheria, the
increase was more marked (0.5 and 8.9 days respectively). The
increase in the case of diphtheria was entirely due to the more
severe nature of the infection being treated, while the comparatively
short detention for scarlet fever patients is due, in part at least, to
the continued use of serum, together with Prontosil.

From this table it will be seen that the health of the Staff
continued reasonably satisfactory throughout the year.
(6) Immunisation.—In addition to protection against
diphtheria, the majority of the Staff have now been immunised
against typhoid infection. I have seriously considered the
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