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60
Serum. Non-Serum.
Complications 31 45
Adenitis 11.5 12.4
Otitis media or mastoid disease 7.5 12.8
Albuminuria and nephritis 6.3 13.4
Carditis 1.1 0.9
Rhinitis 10.9 6.2
Arthritis 4.6 4.0
While the two groups are comparable in regard to age incidence
they are not so in point of time. The lower incidence of aural
and renal complications in serum-treated cases therefore may not be
entirely due to the use of the specific anti-toxin. There can be
no doubt as to the rapid improvement effected by serum when
given early enough ; and this is particularly marked in adults and
older children.
Serum sickness was troublesome, occurring in no fewer than
45 per cent; considerable fever with giant urticaria or circinate
erythema was not uncommon."
Deaths.
Two deaths were certified during the year as being due to
Scarlet Fever, both of girls, one being due to endocarditis, and the
other to septicaemia following mastoiditis.
Dick Test.
No children were Dick tested during the year.
Schools.
Out of the cases notified, only 173 were of children who, at
the time they fell ill, were attending school. There was once more
no evidence of school attendance having been a means of spread of
this infection. In 6 instances, a single case occurred in a department
in two consecutive weeks, and in 4 instances two cases
occurred in a department in the same week. Twice a single cases
was notified from a department in each of three consecutive weeks,
and on two occasions one case in one week was followed by two
cases in the following week. The only other groupings were of
2, 1 and 2 cases occurring in consecutive weeks in the same
ment, and the following numbers notified in consecutive week
from the infants' department of another school, 2,2; 0,0,2, 0,0,1,1,
No schools were closed on account of the disease and no school
or rooms fumigated.