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36
Scarlet Fever.
the 6th and the other on the 9th, the former attending
St. Stephen's School and the latter North Ealing School.
During June cases were notified on the 2nd, 11th and
12th when I considered active steps were necessary to
determine the actual source of infection.
"On the 18th June I examined the hands of all the
' children in the three classes in which cases of Scarlet
Fever had occurred, but no child was found to be
desquamating or to give evidence of nasal or ear discharge
which might be considered the result of Scarlet
Fever. Absentees were followed up, resulting in the
discovery of one child whose hands were definitely
desquamating and whose mother gave a history of the
child having had a rash on the 30th May.
" This boy was in the same class as the two children
notified respectively on the 2nd and 12th June. Another
case of Scarlet Fever was notified in a child attending
North Ealing School on the 20th June. On the 21st
June I visited all the cases in the North Ealing area
who had been notified during May and June as suffering
fromMeasles or German Measles. The result of my
examination of these patients was that one child 8
years of age attending North Ealing School, who had
been notified as a case of German Measles on the 10th
June was found to be desquamating on the hands in a
manner typical of Scarlet Fever.
" As I thought there might be still more cases of
children recovering from Scarlet Fever attending this
School I set out on the 23rd and 24th June to examine
every child in attendance, particular attention being
paid to children who had been absent any time during
the previous two months, or who had complained of
sore throat during that time. The result was that
two children present in a class not already examined