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34
It will be seen that a larger number of cases of Scarlet Fever were notified than has been the
case since 1915, the incidence rate likewise being greater than it has been since 1915. This increase
in incidence was associated with a fatality rate of 10, which is lower than it has been since 1916.
Owing to the tax on the Hospital accommodation in all directions it has been impossible to
admit to Hospital all cases of Scarlet Fever desiring removal. Hospital removal for Scarlet Fever
had to be curtailed on the 18th October, 1919, after which date only the most urgent cases were
removed. From this time to the end of the year, cases of Scarlet Fever have been nursed at home
wherever practicable. In such cases where application has been made proper, expenses incurred
in nursing the cases at home have been allowed by the Council.
Since the 18th October, out of 195 cases notified, 87, or 44.6 per cent, were removed
to hospital. These were not all removed as soon as notified, but as and when beds were available.
It is unsatisfactory that all cases needing or desiring removal to Hospital should not be
admitted—
(1) for the welfare of the patient;
(2) on account in most cases of the inconvenience and expense of nursing the cases at
home;
(3) on account of employers, in some instances, being unwilling for other members of
the family to continue work ; and
(4) on account of the additional length of time scholars have to remain away from School.
In view of the fact that the number of cases notified during the year, although higher than
the three previous years, is not a high number, being only 29 above the average of the last 10 years,
and, in view of the fact that the incidence rate is actually a low one, it is important that the Hospital
accommodation required should be provided.