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have given rise to the term "surgical scarlet fever." The explanation
of the phenomenon appears to be that the patient has
been exposed to the contagion of scarlet fever at or about the
time of the accident, and that the resistance to disease being
lessened by the accident, the development of the infectious
disease is accelerated. In this instance the history of probable
exposure of the patient to the contagion could only be traced
through a knowledge of the circumstances attending the development
of the group of cases now under consideration.
The want of hospital accommodation was much felt in
dealing with this large and long-continued group of cases, as at
more than one important point in its development application
was made for admission of a case to the Enfield Hospital, and
refused owing to lack of room.
The Brettenham Road Board School draws its scholars
from a large portion of the district, viz., as far North as the
Green, and all the Silver Street, and Angel Road Wards.
There is considerable pressure upon its accommodation, so
much so that a new Board School is shortly to be opened to
relieve it. The average daily attendance at this School is given
as 1496.2.
A much smaller group of cases arose in connection with
the Croyland Road Board School. It consisted of twelve primary
and four secondary cases, two of the primary cases may have
been house-to-house infections; this group occurred in May and
June.
Four cases also occurred among the scholars of this school
earlier in the year.
No case was notified in any family whose children attended
this school after August.
A group of three primary cases and one secondary case
occurred among the children attending a small private school in
the Hertford Road.
No group of cases arose in connection with either of the
three Church Schools during the year.
The three groups of cases above detailed as occurring in
connection with elementary schools include in the aggregate 67
out of the total 89 primary cases that arose in the district.