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The present epidemic has been more widely prevalent than any
previous one.
Scarlet Fever began to assume an epidemic form in May, 1892,
having in that month risen nearly 100 per cent. above the weekly
average (15 cases) of the year 1891. In June the weekly average was
24 cases, rising to 27 in July, and to 42 in August. September showed
a great increase, the cases averaging 72 per week. In October they
averaged 75, in November 60, and in December 44. The average
number of cases per week in 1892 was 34, or 126 per cent. more than
in 1391.
The year 1893 began with 37 cases per week in January, which fell
to 29 in February. In March they were 34, in April 31, in May 48,
in June 71, in July 73, in August 80, in September 99, in October 91,
in November 69, and December 43.
So far as the record of the year is concerned I must point out that,
high as the weekly average was in 1892, the cases reported each week
up to April were only below it on 11 occasions, and that since that date
the cases have been always considerably above it.
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