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7
absence of what might be termed typical symptoms, and owing to the
slightness of the rash and absence of an increased or high temperature,
nothing wrong was noticed by the parents or persons in charge until
the peeling commenced, when a doctor was called in. This occurred
in about 25 instances and by their very mildness were probably the
means of spreading the disease; again some of these though very
slight in their earlier stages were unusually severe and complicated
at later periods of illness.
179 patients, or 78 per cent, of the total cases notified,
were removed to the hospital, 4 of whom died, the fifth death occurring
at home.
That some additional hospital accommodation is necesssary if
all cases desiring removal are to be treated in the isolation hospital
must be admitted, and a sub-committee has had the matter under
consideration for some time.
A marked change has taken place of late years with regard to
this matter. A few years ago pressure had to be applied to obtain
the consent for removal of even cases where there was no means of
isolation whatever at the home; whereas now, the difficulty is not to
persuade parents to permit removal of their children, but in many
insiances to point out that there is fair means of isolation at home,
and that provision cannot be made for the removal of every case
that occurs when there is an unusually large number in a short
period, without throwing an undue burden on the rates through
management and capital expenses when the hospital is not fairly
fully occupied.
Ot the notifications received 108 were of children attending the
following schools :—
Haydon's Road (Girls and Infants), 31; Haydon's Road (Boys),
9; Queen's Road, 19; Dundonald, 13; Effia Road, 5; Holy Trinity,
4; Central, 5; Cottenham Park, 1; Roman Catholic, 1; Private, 6;
Schools outside district, 14.
Table III. shows the age distribution for the whole of the
infectious diseases notified, the Wards in which they occurred and
from which they were removed to the hospital.
In Table C on page 5 will be found the death rate from Scarlet
Fever for the past ten years.