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Report of the Medical Officer of Health. 81
The above and other precautions that are now taken with
regard to this disease in elementary schools have proved most beneficial,
and have been the means of checking the occurrence of multiple
cases to a considerable extent.
Of the total number of cases of Diphtheria, four or '93 per cent,
occurred among children under one year, 116 or 27 pjr ce.it. among
children from one and under five years, or 51.6 per cent, from
five and under 15 years, 41 or 9.5 per cent., from 15 and under 25
years, and 47 or 107 per cent, from 25 and under 65 years. Compared
with the previous year there has been an increase at one and
under five years, 15 and under 25 years and 25 and under 65 years.
Of the 372 cases of Diphtheria removed to Hospital, 54 were
reported not to have suffered from Diphtheria.
Return Cases of Scarlet Fever and Diphtheria.
45 cases of Scarlet Fever occurred after the return of cases
from the hospitals of the Metropolitan Asylums Board* compared
with 39 in 1912, 52 in 1911, and 40 in 1910.
There were also 14 cases of Diphtheria, compared with two in
1912, two in 1911, and one in 1910.
16 of the return cases of Scarlet Fever occurred in Clapham,
four in Putney, eight in Streatham, 12 in Tooting, and five in
Wandsworth.
13 of the return cases of Diphtheria occurred in Clapham,
and one in Streatham.
The number of return cases shows an increase this year owing
chiefly to the number of return cases in two Institutions, both in
Clapham. In Clapham seven cases of Scarlet Fever occurred in an
Institution after the return of a case from the Metropolitan Asylums
Board's Hospital, anrl 12 cases of Diphtheria, also in an Institution
in Clapham, after the return of a case. In the case of the return