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The revenue derived from the admission of patients from
outside areas since 1919 now exceeds £24,000.
308 cases were admitted to the Wimbledon Isolation Hospital
during 1927, making a total of 335 cases under treatment
during the year, 27 cases remaining under treatment from 1926.
203 cases were from Wimbledon, 89 from Kingston, 15 from
Caterham, and 1 from Merton.
Scarlet Fever:—173 cases were admitted as scarlet fever,
of which 4 were not scarlet—2 dermatitis, 1 German Measles,
and 1 transient erythema. 3 cases were admitted desquamating.
75 per cent. were classed as "mild," 21 per cent. were
"moderately severe" and 4 per cent. were "severe." 1 case
admitted with cerebral symptoms died (Death rate 0.5 per cent.).
3 cases developed mastoid diseases (2 radical operations and 1
Wilde's operation), and 3 cases developed suppurative adenitis.
Three cases of "surgical" scarlet fever (all burns) were
admitted from local hospitals and discharged cured.
Serum Treatment:—Serum treatment was given to 57
cases which were selected partly by the temperature and
partly by the intensity of the rash. Of these 57 cases 46 had
temperatures on admission between 100 deg. and 102 deg., and
11 had higher temperatures. In 16 the temperature fell by
crisis and all were normal by the fourth day. Of the untreated
cases (98) in 50 the temperature was under 100 deg. on admission
and in 48 it was between 100 deg. and 102 deg. In 19 an irregular
temperature was maintained for about seven days.

In the above table any discharge from the nose, etc., slight
septic spots, etc., were classified as complications (early or late
together) and as severe were classed the otorrhoeas, mastoids,
late albuminurias and nephritis, suppurative adenitis, arthritis,
etc.
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