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34
In the County of London the proportion of children
appearing in the vaccination returns as " not finally accounted
for" averaged, during the decennium 1893-1902, 26.1 per cent.
SCARLET FEVER.

There was a decided rise in the number of cases notified in
May, when the disease as a rule is but little in evidence, and
they continued above the average until December, and were not
affected by the school holidays in July and August. As is always
the case the spread of infection was largely due to the mild
unrecognised cases. Thus, in the course of some enquiries into
the prevalence of the disease in Kingwood Road and the
neighbourhood, I found six children suffering from the disease,
the nature of which had not been recognised.
Isolation. —Of the 779 cases notified, 729 or 92.3 percent,
were removed to hospital for treatment.
Fatality. —The disease was generally of a mild type, but
the case mortality, which was just under 3 per cent., was higher
than in 1904, when it was only 1.4 per cent.
Distribution. —In Table XII. will be found the number of
cases notified in each ward of the Borough, and the subjoined
table gives the proportional prevalence of Scarlet Fever in the
various wards during 1905 and the preceding 9 years.