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110
reasons for thinking that the cases in the other
district, giving rise to the three secondary
cases of this group, may have been due to
the primary, and local, case of the group. It was
ascertained that there had been communication
between the household in this Parish and that
in the other district during the course of the
illness of the primary cause of the group. In
any case, it was concluded that the three secondary
cases of this group were in no way attributable
to imperfect methods of disinfection practised
in this Parish.
Groups 31 and 37 were intimately associated,
the patients in each group being orphans under the
care of the Sisters of the Church Extension Association.
The cases in group 37 appeared to have been
due to direct personal infection, with in all probability
some laxity in the matter of disinfection.
Disinfection was done by the Department after the
primary case of this group only, the other children
being at the date of their attacks at the Sanatorium,
where any disinfection performed was carried out
privately. The whole of the cases in group 31 were
transferred from Hampstead, being children taken ill at
a branch establishment of the Sisterhood and brought
to the Sanatorium in this Parish. There were reasons
for thinking that this group was due to persistence of
infection in the throats, or elsewhere, of one or more
of the patients in group 37, the fifth case in group