Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
Report on the sanitary condition and vital statistics during the year 1905
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49
The report shows (inter alia)—
a. That the type of scarlet fever communicated to
return cases is more virulent than the ordinary
form of the disease.
b. Patients who suffer from complications in
hospital are more prone to infect others on
discharge than simple uncomplicated cases.
c. The complications most usually causing trouble
are morbid conditions of the nose with
purulent discharges.
d. Although a patient on discharge from hospital
may appear to be free from morbid conditions
of the nose and throat, yet if that patient gets
a chill and develops sore throat or running from
the nostrils this condition is apt to be attended
by a recrudescence of infectivity.
k. The length of detention in hospital is no
criterion of infectability, as the more serious
cases, requiring prolonged treatment, are
undoubtedly more likely to cause infection on
discharge than slight cases which soon recover
and only make a short stay in the hospital.
f. Return cases are more common in the winter
months of the year.
g. A person suffering from what appears to be a
common sore throat may convey scarlet fever
infection to others.