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a neighbour's child (after making certain that she was not
susceptible to Scarlet Fever) to look for him and to bring him
home. He was also suffering from Scarlet Fever. I had the six
removed to the Fever Hospital as soon as possible. The goods
in the shop were destroyed. The parents slept at the shelter for
two nights, during which time the house was thoroughly
disinfected. The girl that had attended school for some days
whilst suffering from Scarlet Fever had acted as monitor; one of
her duties was to hand round the books to 40 other children.
I had the books removed at once to the disinfecting station, and
after receiving the consent of the School Board, they were
destroyed. I wrote to the Head Mistress of the school, telling
her that she would greatly oblige me by instructing the teachers
to examine the children's hands every morning for a few days,
and in the event of desquamation being discovered, to send the
children home and to notify me immediately of the fact. These
instructions were carried out and several other cases of Scarlet
Fever were discovered.
Diphtheria.—The corrected number of deaths from Diphtheria
was 26, the annual average number for the last 10 years
being 32.2. One hundred and eighty cases were notified, and 118
were removed to Hospital. This is a decrease of 79 in the
number of notifications. The decrease occurred chiefly in
Limehouse. Eighty-four occurred in Limehouse, 52 in Ratcliff,
and 50 in Shadwell and Wapping. The mortality was 13.4 per
cent, of those attacked.
The average mortality for the last 10 years was 30 8 per
cent. of those attacked. This decrease is no doubt due to the use
of Antidiphtheritic serum which has been used very extensively
during the last 2 or 3 years. The deaths were equal to a rate of
44 per 1,000, that for the whole of London being 50 per 1,000 of
the population.
membranous Croup.—Three cases were notified during
the year, and the three proved fatal. One occurred in Limehouse,
1 in Ratcliff, and 1 in Shadwell.
Typhus Fever.—No case was reported during the year.