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16
tions revealed the fact that there had been two "missed" cases
during the vacation, and that the system of excluding children
needed revision. Quite a number of cases came to light upon
personal examination of children absent from school and for
whom no medical advice had been sought, the attacks being, on
the whole, mild in type; and several cases reported as Measles
were found to be Scarlet Fever. One case developed ear discharge
subsequent to its leaving the hospital and gave rise to three
"return cases" in the same family.
The attention of the Education Committee having been drawn
to the rules for excluding children, whereby it was directed that
contacts with infectious diseases should, save in the case of
Small-Pox, continue attending school, and to the fact that the
practice in vogue was encouraging the spread of infection, the
regulations were amended in accordance with the Memorandum on
School Closure and Exclusion from School issued jointly by the
Local Government Board and the Board of Education, 1909.
Scarlet Fever.

Three cases were also reported among the military population
and removed to hospital.
The incidence rate of Scarlet Fever in the civil population
was 4.0 per 1,000. One death took place from this cause during
the year.