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11
received during the year. The outbreaks of Measles and Gelman
Measles were of a very mild character, and no deaths resulted from
either disease.
The same rules as to exclusion from school attendances were
observed as in previous years, and it was not considered necessary
to close any department during the year.
All children of school age who come from a house where
Scarlet Fever or Diphtheria has occurred are examined at the end of
the quarantine period, before they resume attendance at school.
All Diphtheria contacts are bacteriologically examined.
Scarlet Fever.
There was an increase in the number of notifications of Scarlet
Fever, but there was no death from the disease. Last year was
the fourth successive year in which there was no death from
Scarlet Fever.
In common with many districts in and around London,
Acton was visited by a very mild type of disease. So mild has
been the disease that some authorities have doubted its identity
with Scarlet Fever, and have suggested the name of Para Scarlet
Fever. Others have pointed out its low degree of infectivity.
In most instances, on arrival at the Hospital, the temperature
of the patients is normal and the rash has disappeared. But
although nursed in the same ward as undoubted cases of Scarlet
Fever, we have had no instances of re-infection after admission.
The cases also peel in a similar manner as undoubted cases of Scarlet
Fever do. Occasionally, the cases are very infectious, and we
have had instances of every child in the family being infected one
after the other, and as many as 5 and 6 children have been admitted
to the Hospital from the same house.
Diphtheria.
There were 54 Notifications of Diphtheria, or 8 more than the
number received in 1918. The number of deaths—2—remained
the same.
Diphtheria has behaved in Acton in a very similar manner
as it has done throughout the kingdom.