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By the term "off shoot" in the table is meant cases or
groups of cases in which the contagion appeared to have spread
from one of the cases in the main group through social intercourse
to a house not in the immediate vicinity.
One of the cases included in this group is worthy of special
mention. It was that of a child under school age who developed
the disease a few days after he had been somewhat severely
scalded, the other members of the family were attending this
school at the time which coincided with that of the development
of several other cases belonging to this group, and as it seemed
to me extremely probable that the contagion was conveyed
through the other members of the family, I have included the
case in the group.
It is a matter of common experience that in hospitals where
children are received scarlet fever frequently arises after a patient
has been admitted for an accident of some severity, and especially
has this been observed after burns and scalds, so much so as to