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18
SCARLET FEVER.
The cases certified numbered 535 of which 78 or 14.0 were subsequently not
regarded as Scarlet Fever. The actual number of cases wis accordingly 457 which
gives an attack rate of 4.6 per 1,000 inhabitants.
The age seasonal and Ward distribution of the cases are included in the table
on page 16. There were 3 fatal cases, two of which fell in the age group 2-5 and one
being between 10-15. All three were females. The number of cases, deaths amongs.
males and females and the attack, death and case mortality rates in the Borough
and Wards are given in the subjoined table:—

Scarlet fever has now assumed a very mild form with the happy result that the
deaths therefrom are fewer and the illness less severe than was formerly the case.
From the administrative point of view this mildness of type makes the control of the
disease more difficult for the reason that diagnosis is less sure and that patients
frequently do not feel sufficiently ill to seek medical advice.
The measures taken to control the disease are as follows :—
Isolation of patient. With the exception of 4 cases all those certified
were removed to Hospital.
Disinfection of home and of articles likely to spread infection.
Advice to those exposed as to early symptoms and importance of seeking
medical aid.
Enquiry is made as to the source of infection. A mild missed case may be
found, the removal of which to Hospital may prevent several more inmates of the
house from contracting the disease.