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111
Report of Medical Officer of Health.
RETURN CASES, 1900.
Notes.
F. W. was removed to hospital for diphtheria, not scarlet fever.
A. Discharged on cold, foggy day ; mother noted " stuffiness" in nose, which was said to have cracks
on it; mixed with family on return, but slept apart until 31 xii., when slept with B.
Seen 6 i., '00. Only features noted—slight hardness of submaxillary glands; clogging of nostrils
with this mucus.
B. and C. Have good health ; no school; visiting only an aunt's family, where no illness had occurred.
A. Discharged on cold day ; came home on top of tramcar; mixed with family, but did not share
room with B. until 1 ii.; mother stated he had nasal discharge and slight sore on nose on
return; lad said he had a cold; he was ailing, off and on, with ill-defined symptoms until 4 ii.
Seen 13 ii. Only features noted were muco-purulent nasal discharge, and some rawness at edge
of nostril.
B. Employed in City; not very robust; had a " cold " just before attack of scarlet fever ; is not
subject to throat attacks.
A. (1) and (2). Came home on bright, cold day by cab; mixed with family at once ; shared room with
B., but had separate bed.
(1) Good health since return; some scurf in head; mother noted nasal discharge on day
of return.
(2) Good health ; slight scurf in head ; no nasal discharge.
Seen 12 ii. A. (1). Scurf over occiput; thick nasal discharge, and edges of nostrils sore; cracks
behind both ears; some scaliness over left ear; submaxillary glands small and hard ; sores
at edges of nails of left hand.
A. (2). Some scurf in head ; submaxillary glands hard, otherwise nothing to note.
B. Had good health except for cold during fortnight preceding return of A. (1) and (2); was cutting
last double tooth at that time.
A. Came home on a warm fine day; mother noticed a nasal discharge on his return, from which he
was also reported to be suffering while at hospital ; mixed with family at once ; slept in
separate room from B. with brother who had had scarlet fever some time ago.
Seen 14 vi. Child very pale; had "snuffles," but no evidence of nasal discharge; submaxillary
glands large; anterior cervical glands small and hard.
B. Had very good health up to day of attack.
A. Reported to have had discharge from nose on return; and bad throat.
The three secondary cases were in two families occupying two houses.
Patient A. slept at home of patients B. and D. on 6 viii., and had been visiting K. family
frequently. (Case not fully investigated owing to vacation.)
(Case not fully investigated owing to vacation.)
A. No history of any abnormal features on return. Slept with B. same night.
B. Good health. (Not completely investigated.)
A. Discharged on cold, fine day ; home by train; was apparently quite well, and nothing was noticed ;
slept apart (separate room) from B.
Seen 6 xii. Child apparently quite well, and free from all indications.
B. A somewhat delicate child ; had been at school up to day of sickening.
Premises not too clean.
A. Discharged fine, cold day; mixed with family at once; slept in same room, but separate bed, with
B. Had slight cold after return.
Seen 14 xii. Indications of adenoids; submaxillary and anterior cervical glands hard, but not
markedly enlarged.
B. Had good health.
A. Discharged on fine day; home on top of 'bus; slept with B. and another sister; mother thought
child had cold after return home.
Seen 15 xii. Nothing to note.
B. Had had good health ; attended school until 13 xii.