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35
fection was attributed to 17 patients recently returned from
hospital, compared with 13, 30, 38, and 58, in the four
preceding years. The interval between the return of the
infecting case and commencement of illness varied from 2
to 22 days. Of the 17 infecting cases, 11 had some form of
rhinitis on or after their return, 2 otorrhœa, and 1 a rash.
Most of the return cases appeared quite well on return, and
no blame can be attached to the staff of the Fever Hospital
in any case.
As a rule, the children returning from hospital are quite
well at the moment of leaving, but in many cases develop
some nasal discharge on arrivng home, or within a few days.
Illustrative cases of this were given in the 1908 Report.
As recorded in previous reports, special instructions are
given to parents of returning cases, but it does not appear
that much advantage has ensued.
The Hospital Superintendents forward the names of any
children discharged while still suffering from rhinorrhœa.
It would be an advantage perhaps if they also forwarded
the names of children who had suffered from a rhinorrhcea
which appeared to have ceased.
42. Home Isolation. 13 certificates of efficient home
isolation were given to enable men to continue their employment
in the Arsenal, compared with 16 and 11 in the two
previous years.
54 cases were isolated at home. None of these was
followed by a secondary case which could be attributed to
failure of isolation or persistence of infection.
In 1907-8-9 home isolation was followed by three return
cases and three secondary cases, making a total of six cases,
c 2