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16th or 17th June, after going through the usual processes
of disinfection before leaving the hospital. His sister,
Emily K., four years old, was notified on the 19th June.
The mother states that no clothes were put away without
being disinfected. At the time of my visit, Ernest had some
rhinorrhœa.
I was kindly furnished with many of the above particulars
at the S.E. Hospital.
I give the details, as the facts ascertained show that the
rhinorrhœa was the probable source of infection in the second
case.
In another instance, two cases (Gertrude E., 8½ years, and
Cissie E., six years) occurred within a few days after the
return of their sister Florrie from hospital. At the time of
my visit there was desquamation of one of Florrie's fingers.
The mother, however, had been recently visiting another child
who was also seriously ill with scarlet fever.
A case of diphtheria (Jessie E. B., four years) was first
notified June 24th, returned from hospital 14th July, was
again ill the same day, re notified on the 17th July, and had
again to be removed to hospital.
Diphtheria and Membranous Croup.—37 cases were
notified, and all were removed to hospital, except two
children who died before they could be removed. There
were 9 deaths. In London there were 13,800 cases notified,
and 2,663 deaths from this disease.
Of the cases treated at the hospitals of the Metropolitan
Asylums Board, to which a large proportion of the severe
cases are removed, in 1896 the death rate was 20.8, and in
1895 it was 22.5 per cent.; while in 1894, before the intro-