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Secondary Cases of Scarlet Fever.
Exclusive of the above seven cases, and two nurses at a hospital, of the
remaining 111 notifications 83 occurred in houses in which there was no secondary
case. In two houses there were four cases and in four houses three cases, and in
four houses two cases occurred.
"Return" Cases of Scarlet Fever.
Two patients after their return home each led to two return cases, i.e., cases
which occurred in the house soon after the return home of a patient from hospital.
Both of these attended the same school as mentioned above.
DIPHTHERIA.
The number of cases of diphtheria notified was 85 of which 33 belonged to
St. Giles and Bloomsbury and 52 to the Holborn District. All but one were
removed to Hospital. The notification rate was 1.74 per 1,000 in comparison
with 1.64 per 1,000 for London. The average for the preceding decennium for
the Borough was 1.25 per 1,000.
Errors in Diagnosis.
Four patients were returned from the Hospital of the Metropolitan Asylums
Board not suffering from diphtheria, or only 4.7 per cent. of the cases notified.
Secondary and Return Cases.
Excluding the above four cases and three nurses at a hospital, of the remaining
78 cases 61 occurred in houses in which there was no secondary case. In
three houses there were three cases notified, and in four houses two cases each.
One patient apparently caused two "return" cases which were notified
10 days after the return home of the patient from hospital.
Diphtheria Anti-toxin was supplied free of charge in 10 cases.
ENTERIC FEVER.
Excluding duplicates there were 10 notifications in comparison with 25 for
the preceding year. Six belonged to the St. Giles and Bloomsbury District and
four to the Holborn District. These notifications corresponded to a rate of 0.20
per 1,000 in comparison with 0.23 for London.
Of these ten cases four were not contracted in the Borough, and of the
remaining six three were probably contracted from eating infected shell fish.