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50
fever, giving a scarlet fever death-rate of 0.01 per 1,000 of population
and a mortality rate of 0.9 per hundred cases. The scarlet fever
death-rate compares favourably with that for England and Wales,
the Great Towns and London, which were 0.03, 0.03 and 0.02
respectively.
In order, as far as possible, to prevent the occurrence of
"return" cases the Health Visitors visit all the cases after leaving
the Isolation Hospital within 14 days to determine their progress and
to discover if any nasal or ear discharge arises in the meantime.
If such occur further isolation at home is advised and if the child is
a school child exclusion for a longer period is recommended. During
the year the Health Visitors made 85 first and 8 subsequent visits
to cases discharged from the Hospital.