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ment. The dates of attack were, approximately, January
16th, 19th, 20th. 27th, and February 2nd, 4th, and 9th. The
seven cases occurred in as many families: three of them
proved fatal. The single case in the boys' department was
obviously due to personal infection at home. The single case
in the girls' department was regarded as a coincidence merely;
as was the case of a child aged 2i years (and therefore below
school age) whose brothers and sister went to the school, but
were unaffected. This little child's case proved fatal. The
origin of the outbreak was not ascertained. The spread in
the infants' department was doubtless due to personal infection,
in or out of school. A case in a child (infants' department)
had occurred just before the re-opening of the schools;
but no connection was traced between it and the school
cases proper. A smaller outbreak also occurred at St.
Barnabas Church House School, Warwick-gardens; three
children having been attacked on February 3rd, and 4th,
respectively. In one instance two members of the same
family were in attendance at the two schools ; the first of the
two cases occurring at Warwick-gardens School. The occurrence
of cases of the disease at the two schools, at about
the same time, appeared to be a coincidence. A severe local
outbreak of diphtheria occurred at a stable, at Manson-mews,
South Kensington, five cases in one family having been
been notified between October 24-31. The illness in the first
case had existed about a week before removal to hospital:
its origin was not traced, nor was the nature of the illness
recognized, hence extension of the disease. The first four
cases were of children ranging in age from 2 to 16 years.
The fifth case was that of the mother: two of the children
died. Diphtheria occurred on three occasions at Royalcrescent
(western section), Notting-hill: three cases in
three adjoining houses, none of which proved fatal. The occurrence
of the disease was thought to be connected with the