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23
I may mention that the Eastern part of the District appears to
have been the portion most affected during the year under review.

Diphtheria.
There have been 70 cases during the year, with 11 deaths, making
a case mortality of 15.71 per cent., against 54 cases with 6 deaths,
a case mortality of 11.11 per cent in 1912.
It will be noticed that while Noel Park Schools show the highest
return with respect to Scarlet Fever, it has the lowest return with
respect to Diphtheria.
In connection with Bounds Green School, I found three children
present at School with Diphtheria, and I wonder that there were not
more cases notified from this School.
In all these cases there was the usual history of a "bad
cold." In one case the typical membrane was actually present when
I examined the child; the other two cases were suspicious and confirmed
by bacteriological examination.
During my enquiries at the same Schools I also learned that
four brothers were at home with "bad colds" and, from my knowledge
of the family, I asked their Medical Attendant to call and take
swabs from their throats, which proved "positive," thus one was able
to account for 7 cases out of 17 at this particular School.