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These 3 cases attended the Prickend School, and although no
definite source of infection could be traced, the assumption is that
they arose from a mild unrecognised case in school, and this is
somewhat borne out by the fact that Case 3, only returned to school
on March 20th after 15 weeks' absence with whooping-cough, and
had only attended school 4 days before he was taken poorly.
Case 4 was an adult male, notified in November. He called on
a medical man on his way home from work as he was feeling unwell,
and was at once notified.
Case 5, a boy aged 12, also occurred in November, at Church
Avenue, and attended a private school. The origin of these last 2
cases could not be traced.
All the patients were treated in Hospital.
Anti-toxin is provided at the Council's expense for administration
to the poorer patients and contacts, and the bacteriological
examination of throat material in suspicious cases has also been
paid for by the Council.
Erysipelas. Seven non-fatal cases were notified, as compared
with 6 in the previous year, and arose as follows: 2 in January at
Garden Cottages, Foots Cray; 2 in July (1 at Lincoln Road, and 1
at Green Lane); 1 in September at Marland Terrace; and 2 in
October (1 at Sidcup Hill, and 1 at Victoria Road).
All the patients were adults.
Scarlet Fever. Six non-fatal cases occurred, as against 57
cases and 1 death in 1910.
The first case was that of a girl notified at the end of July.
She had been sent home from a school in Belgium with her sister
after an illness for a change, and on her arrival, as she was very
unwell, a medical man was called in, and examination showed the
child to be freely peeling on the feet, and she also had a nasal discharge.
I made inquiries directly of the Principal of the school,
and found that there had been at least one case of actual scarlet
fever at the school, and that other girls had had sore throats.
The patient's sister and another girl in Sidcup who came home
with them, were kept under observation, but both continued well.
The case was treated at home.
The second case, a boy aged 10, was notified from Church
Avenue, Sidcup, in September, and was also nursed at home. The
origin of this case could not be traced.