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41
Home treated cases.
The same practice was continued of supervising these
cases by the Health Visitors up to the '6th week. Disinfection
was carried out shortly after 23th day in most cases.
In the latter part of the year a scheme of assistance by Home
Helps was brought into operation, working under section 67
of the Public Health Act Amendment Act, 1907. These were
women from homes in which there were no susceptible children,
and were made use of particularly in those cases where the
mother herself succumbed to infection.
The following table gives a list of the complications
occurring amongst those cases who were 'treated at home
throughout the course of their illness.
Certified Adenitis 7 per cent. Commonest late in the
second or early in third week, with an average duration
of 10-14 days.
Rheumatic Pains, 4 per cent. Commonest in the second
week, mostly of only a few days duration;
Otorrhoea, 2.2 per cent. Commonest in the first week.
Rhinorrhoea, 1.6 per cent.
Three cases of tonsillitis occurrcd about the 21st day
from the onset. Temporary cardiac and renal involvement
was reported in five eases. All these .cases, however, apparently
made a complete recovery.
In addition to these cases were the five who were admitted
owing to complications.
1. Developed signs of mastoid. Removed on 10th day
2. Nephritis and otorrhoea.
These complications were present at the time the
patient was first diagnosed, in his third week of
illness.
3. Admitted in fourth week on account of severe
tism.
4. Admitted in fourth week with tonsillitis.
5.. Admitted in third week owing to cervical adenitis and
? nephritis.
Secondary Infection.
Out of the 317 primary cases treated entirely at home. 38
gave rise to 52 secondary cases, 2|8 giving rise to one, 9
to 2 and 2 to 3. Ample accommodation, permitting of the
removal of the primary case, would have prevented the onset