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being, therefore, 19. Of these, 9 had rhinitis in varying degrees, one sore throat, one an abscess in
the neck, and one sores about the face, while in 6 there was no clinical evidence of infection. In
one instance the scarlatinal convalescent had developed clinical diphtheria and was removed
to hospital on the day of onset of the " return case " of diphtheria.
Swabs from the nose or throat (or both) were taken from 14 of the (?) infecting cases
and the cultures from them examined in smears for the B. diphtheriae in the ordinary routine
manner, chiefly at the Lister Institute. The results were as follows (T = throat, N = nose):—
T + N + 4, N + 2, T - N + 1, T - N — 4, T — 3.

The foregoing statement includes the 5 instances in which a return case or cases of scarlet
fever as well as a case of diphtheria followed the return home of the scarlatinal convalescent.
These five cases are referred to on page 49.
After-care.—A proportion of the children who have been discharged from hospital after
diphtheria have been visited to ascertain their condition and to secure treatment for sequelae
if necessary. 356 such children have been visited in 1922, of whom 289 are reported to have
recovered satisfactorily and 67 to have required treatment. The conditions needing treatment
were as follows: Debility 17, nose and throat 19, ears 8, paralysis 3, enlarged glands 3,
heart 5, cough 6, eyes 2, other defects 4. Eleven of the cases were treated at the St. Pancras
Dispensary, 27 at hospitals, 2 at the School Clinics, and 20 by private doctors.
TYPHOID OR ENTERIC FEVER (INCLUDING PARATYPHOID).
Fourteen cases were notified in 1922 as suffering from this disease. Of these, 5 were
afterwards found not to be suffering from enteric, the number of actual cases being 9. Only
one case (Paratyphoid B.) was fatal.
On serological grounds 5 of the 9 cases were regarded as infectious with B. typhosus, and
4 with B. paratyphosus B.
Two cases were treated at home, 9 in the North-Western Hospital, M.A.B. (including the
5 in which the diagnosis was not confirmed) and 3 in other hospitals.
The cases took their onset: 2 in December, 1921, one in May, 1922, one in June, 3 in
August, one in September, and one in October.
One case arrived in this country already ill, and one probably took the infection in Sheffield.
No source of infection was traced in any of the other cases. There was no history of shellfish
in any of them. One was in Edinburgh when the disease began, but probably took the infection
in London. Six of the cases lived in St. Pancras and worked in other parts of London. In no
instance was there more than one case in a household.
The number of cases of typhoid fever, corrected for errors of diagnosis, which have been
notified since 1913, and the number of these cases which have died, are shown in the following
table:—