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One death occurred from the disease, which gives a
death rate of .033 per 1,000, aud a case mortality of .87
per cent.
In a number of cases which were notified, the child
was found to be desquamating; no sore throat had occurred,
and no rash had been noticed by the parents, so
that no suspicion of the nature of the illness had been
aroused until the child was found to be peeling.
It is cases of this nature that cause the spread of the
disease, and render it almost impossible to entirely prevent
further cases.
Return cases occurred in connection with 6 patients
discharged from the Sanatorium. As stated in previous
reports, it is impossible to eliminate these entirely. In
an endeavour to prevent their being a source of infection,
a leaflet is given to the parents or relatives of each case
discharged from the Hospital, pointing out that it is a
potential source of infection, and advising such precautions
as may obviate trouble.
Diphtheria.
The number of cases of Diphtheria notified during
1913 was 38, as compared with 42 in 1912. Of these 20
occurred in children between the ages of 5 and 15 years,
and 15 in children between 1 and 5.
One case occurred in a child which had been taken to
one of the London Hospitals, some days after its admission
as an in-patient, and two cases were cases which presented
no clinical symptoms, but were found on bacteriological
examination to be harbouring the bacillus of Diphtheria
in their throats, after contact with a case of clinical
Diphtheria.
The number of houses affected by this disease was 32;
in 27 one case only occurred, in 4 two cases, and 1 in
three cases.
The attack rate for the disease was 1.26 per 1,000 of
the population, as compared with 1.42 the previous year.
The number of deaths was 3, which gives a death rate
of .099 per 1,000, and a case mortality of 7.9 per cent.
Thirty-four of the cases notified were removed to the
Sanatorium for treatment, a percentage of 89.47.
There were no return cases, a result due to the fact
that before a case which has been suffering from Diph-