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was peeling, and the child had been suffering from the disease
since September 20th. He had attended the Central School from
September 28th to October nth.
A pupil of Southfield Road School was notified as suffering
from Scarlet Fever on September 30th. The child had been ill
since September 15th, but the illness was not diagnosed until
peeling had commenced. It is true that the patient had not attended
school since September 13th, but two other children attended
school, and mixed freely with the patient, and in view of the possibility
of "carrier" cases of Scarlet Fever, this element could not
be excluded as a possible factor in the spread of infection.
The disease was distributed almost uniformly throughout
the wards. 48 cases occurred in the North-East Ward, 37 in the
North-West, 44 in the South-East and 107 in the South-West Ward.
The School distribution was as follows:—
Beaumont Park 40
South Acton 22
Central 22
Southfield Road 18
Priory 12
Roman Catholic II
Rothschild Road 9
St. Mary's 6
Willesden Junction 2
Outside Schools 19
More than one-half of the cases occurred in the last quarter
of the year. During the earlier part of the year the district was
comparatively free of the disease, but following an increase which
occurred in London towards the end of the summer, the notifications
increased in number here at the beginning of October. The wave
seemed to extend from East to West. The eastern districts of the
Metropolis were the earliest ones to experience the increased prevalence,
and a rise was noticed in these boroughs about the beginning