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was 16 in the Borough, 2.8 in Woolwich Parish, 1.1 in Plumstead,
and 0 0 in Eltham. The case mortality in Plumstead
has only once been lower since 1893, viz , in 1899. It has
almost continuously diminished since 1893, when it was 8.0.
The case mortality was 1.5 for hospital-treated cases, and 2.1
for cases treated at home.
37. 265 of the 311 cases were removed to the hospitals of
the Asylums Board, usually within a few hours of the notification
being received. In a few cases I certified that the patient
was properly isolated at home, so enabling Arsenal employees
in the house to continue work. No harm resulted from this
practice, commenced a year ago.
Five-sixths of the cases were between the ages of 5 and 15
years. Schools: Mulgrave Place, Vicarage Road and Bloomfield
Road were the most affected, being attended by 16,18 and
28 of the children respectively. (See Table VI.)
38. Return Cases.—There were seven cases in which
another member of the family had returned from Hospital
within three weeks of the commencement of the illness. One
of the returned children had a discharging sore on the neck,
and one had a sore mouth and running at the nose.
39. Concealment of a case of Scarlet Fever.—A boy who had
been away for a few days was found soon after his return to
school to be peeling. On visiting the house, I found that the
boy was desquamating from Scarlet Fever, and the boy's grandmother
and a lodger had told the mother when the rash was
out that it was like Scarlet Fever. There was good reason to
think that the mother wished to conceal this case, but it was
thought that it would be difficult to obtain evidence which
would convince a magistrate that the mother 'was aware' that
her son had an infectious disease.