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45
The following comparison of hospital and home treatment
is made therefore by considering, on the one hand, only return
cases to hospital treated eases, and on the other those cases
which occurred within a month of the freeing of the primary
patient and those secondary cases which might have been
prevented had the primary case been removed.
Ten hospital treated infecting patients on their discharge
gave rise to 12 return cases. This was in a (total of 145 infected
houses, in which, apart from the patients, there were
330 adults and 325 children under 15. In the case of the
home-treated primary cases, there were 16 preventable secondary
cases and 9 cases infected after the freeing 'of the primary
case. This occurred in a total of 246 houses, in which there
were 562 adults and 394 children under 15.
Deaths.
Four deaths were ascribed to Scarlet Fever. In two of
them pneumonia was given as the primary cause of death.
In another, following car trouble which developed four months
after the attack, tonsillectomy was performed four months
later and was followed by a mastoid., In the other case the
patient died from mastoid complications.
Dick Test.
No children were submitted to the Dick Test.
Schools.
No Public Elementary Schools were closed during the
year for Scarlet Fever.
Enteric Fever.
There were 6 notifications for Enteric Fever received in
the course of the year, 2 cases proving fatal.
Three cases were para-typhoid Fever occurring in the
same family. A girl of 9, suffering from Scarlet Fever, was
admitted to hospital on the 6th day, together with her sister,
aged 3, who had been Secondarily infected. When- the temperature
had fallen and the cases apparently doing well, diarrhoea
started, the temperature rose again and spots subsequent!)
appeared. The Widal reaction was positive. On enquiry at
the home, a brother, aged 11, was found suffering from diarrhoea
and spots; the remaining 5 members of the family
were apparently well.