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46
37. Table 3 gives the age distribution, the number in
each parish, and the number removed to hospital. Eltiham
parish was most affected.
38. Deaths. There were 9 deaths, giving a death-rate of
0.07 per 1,000 population, compared with 0.06 in 1913, 0.08
in the five years 1908-12, and 0.19 in the ten years 18911900.
The death-rate in London was 0.07, Compared with
0.07 in 1908-12. The case mortality (or deaths per cent.
of notifications) was 1.3, compared with 0 6, 0 8, and 1.3,
in the three preceding years.
39. Hospital Isolation. Of the 714 cases notified, 625
(or 88 per cent.) were removed to one of the Fever Hospitals,
compared with 94, 90, 80, 88, and 90 per cent. in the five
preceding years. 13 cases were reported, after observation
at hospital, not to be scarlet fever.
The accommodation at the Asylums Board's Hospitals was
severely taxed in the latter part of the year, and many
cases had to wait several days before they were removed.
The Cases from the most crowded houses however were removed
first and I saw no evidence that delay in removal led
to the spread of infection.
40 Return Cases. There were 12 cases (or 1.7 per cent.
of notifications) in which infection was attributed to patients
recently returned from hospital, compared with 58, 27, 29,
37, and 31, in the five preceding years. Of the infecting'
cases, 6 had some form of rhinitis on or after their return.
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 arriving home, or within a few days.
Illustrative cases of this were given in the 1908 Report.