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discharged frum the Hospital, we find anything but a
satisfactory state of affairs revealed. Out of 466 cases
of Scarlet Eever notified, all but 184 were removed to
Hospital. In 12 of the houses out of the total in
which these 184 cases occurred, secondary cases,
amounting in all to 13, occurred at an interval later
than the incubative period of the disease dating from
the receipt of the notification. Of course, here again
it would be wrong to assume that the secondary cases
were derived from the primary case, simply and solely
because they occurred in the same house within, in
most cases, a reasonable interval after the occurrence
of the primary case. There is another class of case
shown in the above tables, calling for attention and
comment. It is that of secondary cases arising in
houses from which the primary case had been removed
to Hospital after the incubative period had expired,
and while the primary was still in Hospital.
During the year 13 such cases occurred in nine
houses. This must not be set against the value of an
Isolation Hospital, since it is certain that they did not
derive their infection from the case in Hospital, but
contracted it either by means of some article escaping
disinfection or, as was demonstrated in one succession