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case a further case of Diphtheria arose. That was discharged
from hospital, and 17 days after reaching home there was
notified another case of Diphtheria.
The second Scarlet Fever and the second Diphtheria
returned home on the same date, and 17 days later there was
a fresh case of Diphtheria. At another house a case of
Scarlet Fever was notified, it was discharged from the hospital,
and a month later a case of Diphtheria was notified. The
case was sent to the hospital, and ten days later a second case
was notified.
A neighbour living on the opposite side of the road
nursed at the house, contracted Diphtheria and was sent to
the hospital.
At another house a case of Scarlet Fever was notified
and sent to hospital, two months later after the return of the
patient from hospital a case of Diphtheria occurred and was
fatal.
At another house a case of Diphtheria was notified and
removed to hospital, but before its return a case of Scarlet
Fever was notified. From another house a case of Diphtheria
was removed to hospital and 7 months afterwards a case of
Scarlet Fever occurred.
There are certain known facts in regard to the behaviour
of Scarlatina which merit attention, and on these I propose to
dwell. While in many instances Scarlatina is quite obvious
to the medical practitioner, in others it is impossible for him
to pronounce a positive opinion owing to the absence of the
characteristic appearances of the complaint.
It happens sometimes in relation to the outbreak of Scarlet
Fever in the house that illness arises among its inmates both
before and after that event. But the illness is wanting in the
usual symptoms which, when pieced together, are recognised
as Scarlatina. Thus slight sore throat, trifling fever, headache,
sickness and lassitude, in themselves of no special import,
may occur and be followed by speedy recovery. Sometimes
desquamation follows these indefinite illnesses. But
some of these attacks are undoubtedly Scarlatina—abortive