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A glance at the Chart will also show how the
two diseases, scarlet fever and diphtheria, prevail
together; it has also been very noticeable, especially
towards the latter part of the year, how many
children have been attacked with the two diseases
at the same time.
Diphtheria.—It would almost seem that the remarks
applicable to scarlet fever might be used with
regard to diphtheria, for although in the latter
disease children do not attend school in a state of
peeling, they do attend with sore throats, and the
unrecognised slight cases go on till a sudden severe
one draws attention to the disease.
In the remarks on meteorology, I have drawn
attention to what I think might have a decided
influence in spreading the disease, but that is not
the only one or perhaps the most important. A
close atmosphere in a confined space as an ill.
ventilated room is probably the most potent factor
in spreading the disease and rendering it of a
virulent character. In some cases the house drains
have been found choked. There have been no indications
of a contaminated milk supply; in many
cases condensed milk has been used.
Typhoid Fever.—This disease has not shewn
any special outbreak, although it has been present
more in the South.West Ward.