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21
Secondary Cases of Scarlet Fever.
Excluding the above 14 eases, and 3 nurses at a Hospital, of the remaining
51 notifications, 43 occurred in houses in which there was no secondary case. In
two houses there were 3 cases, in one of which two of the cases occurred in
December of the previous year ; and in 2 houses 2 cases occurred.
Return Cases of Scarlet Fever.
There were no "return" cases, i.e., cases which occurred in a house soon after
the return home of a patient from hospital. During the year only two cases
were isolated at home, and one contracted the disease from the other who was
then supposed to be free from infection.
DIPHTHERIA.
The number of cases of diphtheria notified was 45, of which 12 belonged to
St. Giles and Bloomsbury and 33 to the Holborn District. All but one were
removed to hospital. The average number of notifications for the preceding
decennium was 77, 30 for St. Giles and Bloomsbury and 47 for the Holborn
District.
Errors in Diagnosis.
Five patients were returned from the hospitals of the Metropolitan Asylums
Board not suffering from diphtheria, or 11.1 per cent. of the patients notified.
Secondary and return Cases of Diphtheria.
In eight houses, including a hospital, two cases occurred. There was only
one doubtful return case, and this occurred seven weeks after the return home of
the primary case.
ENTERIC FEVER.
There were, excluding duplicates, 25 notifications in comparison with only 16
for the preceding year, and a decennial average of 32. Eight belonged to St. Giles
and Bloomsbury, and 17 to the Holborn District. All but four of the cases were
removed to hospital.
All but three were notified in the latter half of the year,
Of the 25 cases six were afterwards found to be not suffering from enteric
fever. Of the remainder one was certainly, and two were probably, not contracted