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43
no doubl be due to the failure to recognise the importance of
rhinorrhoca as a |factor in the spread of disease and treatment
under conditions of less satisfactory ventilation would cause a
greater number of such cases.
In six cases where a patient was treated at home, apart
from the secondary cases of the disease, the mother, within the
first few days of the onset, suffered from a sore throat or tonsillitis.
but apparently with no rash or subsequent peeling. These
would presumably be cases of anti-toxic immunity without
bactericidal resistance.
One patient suffered from two attacks within a short
space of time: On April 3rd this boy, aged 3, suffered from
a typical attack. On the 16th October his sister, the only
other child in the house, suffered from Scarlet Fever and
secondarily infected him on the 19th, This attack was typical
in its acute stage and subsequent desquamation.^ For the first
three weeks of illness the patient suffered from marked rhinorrhoea.
Hospital Treated Cases.
Of the cases admitted to hospital, 10, on returning home,
gave rise to 12 return cases. A large number of the infecting
patients were found to have rhinorrhoca, with a history of a
normal nose on discharge from hospital, but the patient subsequently
developed a head cold.
The onset of the Return Case from the time of discharge
of the infecting patient was unddr 5 days in 5 cases, under 9
days in 9; the remaining intervals were 13. 17 and 27 days. In
two' instances the Return Case was the mother of. the child.
The infecting patient was discharged from hospital after a
stay of 28 days in two cases, 3 were discharged in the 5th
week, 2 in the 7th, and 2 in the 8th week, whilst one had
been in 13 weeks.
In none of these cases had the infecting patient given rise
to a secondary case of infection before removal to hospital,
although, in only 3 oases, was the patient removed as early even
as the 2nd day after the onset; Further, from the length of
time of retention in hospital, it is obvious that some complication
was present in most of the patienit's, leading to their
detention.