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42
cases in which removal was specially desired were accommodated.
The opening of the new wards at the Isolation Hospital in February
did not immediately render available additional accommodation
as some of the older wards were temporarily closed for structural
alterations. These beds were, however, available by the autumn.
During the first four months of the year 42 cases were treated
entirely at home, 65 cases removed to Rush Green and 34 cases to
other hospitals. In addition, there were 5 cases who commenced
home treatment but who were subsequently admitted. Of these.
4 would have been removed earlier had beds been available.
In the second four months of the year, 37 cases were treated at
home, 77 admitted to Rush Green Hospital, and 2 to other
hospitals. In the last four months, the corresponding figures were
29, 124 and 2. In addition, 2 cases commenced home treatment
but were subsequently admitted. During the year then,
out of 420 cases, 108 were treated entirely at home, 266 were
admitted to Rush Green Hospital, 39 to other hospitals and, in
addition, 7 cases who commenced home treatment were subsequently
removed.
Home Treated Cases.
Of those treated at home, few suffered from complications.
Three had cervical adenitis in the third week which cleared in seven
to ten days. Otorrhoea occurred in the second week, in three cases,
albuminuria in the fifth week in one, and scarlatinal rheumatism
in the third week in one case. Of the seven who commenced home
treatment but were subsequently admitted, two were removed on
account of the severity of the attack and one owing to the patient
developing concurrent diphtheria.
Secondary Infection.
Of the 57 cases of secondary infection, 13 occurred where the
primary case was treated at home, 5 were subsequent to a missed
primary case, and in 12 the onset of the second was before the
notification and removal of the primary case. In these cases, the
onset of the secondary occurred on the second day from the onse
of the primary in 6 cases, and on the third day in 7 cases, In a
total of 21 the onset was within one week of the onset of the
primary. In 5 cases, the onset was in the second week ana in
6 in the third week.
Of the secondary eases occurring after the removal of the
primary case to hospital, 14 occurred within the first three days
after removal, only 2 occurring in the remainder of the first weej
and 3 in the second week. In 5 cases the onset was reported
to be in the third week after the removal of the primary case.