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62
Scarlet Fever.
All the 86 cases of scarlet fever were removed to hospital. Seven cases
were returned from hospital "not scarlet fever."
In connection with five of the cases during the year there were six secondary
cases. All but one of these were notified either at the same time or within a few
days of the primary case. These secondary cases are exclusive of two nurses at a
hospital in the Borough who were notified as suffering with scarlet fever; from
the same hospital 45 in-patients were notified as suffering with the disease; none
was resident in Holborn. There was one " return " case, i.e., a case of scarlet
fever occurring within 28 days of the return from hospital to the same house
of a previous case of scarlet fever.
There was one death from scarlet fever.
12,215 cases of scarlet fever were notified in London with 100 deaths.
Enteric Fever.
Six cases were notified during the year; in one the diagnosis was subsequently
not confirmed. One of the patients died.
The facts relating to the cases are as follows:—
(i.) An assistant in a draper's establishment who had meals in common with
the other employees. The source of infection could not be traced; no other case
occurred amongst the staff.
(ii.) A child of school age who died; the father of this child was a restaurant
cook and it was stated that two cases of enteric fever had occurred amongst the
restaurant kitchen staff six months previously; there was, however, no apparent
connection between these cases and the child notified in this Borough.
(iii.) A nurse at a hospital in the Borough who contracted the disease from
a patient in the hospital, suffering from paratyphoid B.
(iv.) This patient had recently spent a day at a seaside town where she
partook of cockles purchased from a stall. On enquiry of the M.O.H. it was
ascertained that several other cases of enteric fever had occurred in the seaside
town, but these were not traced to the consumption of cockles.
(v.) A child who was staying temporarily at a hotel in the Borough and had
recently arrived from the Continent. The illness was contracted abroad; it began
in France three weeks prior to the notification.
395 cases were notified in London with 48 deaths.
Typhus Fever.
No case of typhus fever was notified during the year, either in the Borough
or in London.
Cerebrospinal Fever.
One case of cerebro-spinal fever was notified. The patient was removed
to the North-Western Hospital where she was found to be suffering from acute
pneumonia and not cerebro-spinal fever.
93 cases were notified in London, with 80 deaths.