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22. Of the houses in which cases occurred there were 203
with only one case, 30 with 2, and 11 with more than 2.
23. In my last report I mentioned three additional measures
which were desirable for controlling the spread of Scarlet Fever;
they were:—
(1.) The thorough inspection of country cowsheds, and the
registration of the source of supply of every milk vendor.
(2.) The periodic inspection of school children.
(3.) Some modification in the direction of diminished
stringency of the Arsenal regulations re infectious diseases.
The first two measures are beyond the control of the local
authority, but the third has been carried out by arranging with
the Principal Medical Officer of the Arsenal that employees in
houses where infectious disease exists, shall not be prevented
from pursuing their work, if I certify that the patient is
efficiently isolated. I have so far been only thrice asked for
this certificate. I believe this relaxation of the Arsenal regulations
will lead to fewer cases of concealment, and consequently
diminish the spread of infection.
23a. The highest number of cases occurred in January (50),
in March (40), and in October (32); and the lowest in August
and December (13).
24. Return Cases.—There were nine cases in which the
Scarlet Fever began within not more than ten days of the
return from Hospital of another member of the family convalescent
from the same disease.
One case began 3 days after such return, two 4 days after,
three 6 days, two 9 days, and one 10 days after. Five of the
returned patients had a running from the nose, and one a
discharge from the ear, when they arrived home. The average
stay of the returned patients in hospital was twelve and a-half
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