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33. Deaths. There were 8 deaths, giving a death-rate of
0 06 per 1,000 population, compared with 0.07 in 1914, 0 06
in 1913, 0 08 in the five years 1908.12, and 019 in the ten
years 1891.1900. The death.rate in London was 0 07 compared
with 0.07 in 1909.13. The case mortality (or deaths
per cent, of notifications) was 1.4, compared with 0.8, 1.3
and 1.3 in the three preceding years. One case died three
days after confinement, and would have properly been said
to have died of puerperal fever. One was in work at the
Arsenal Canteen.
34. Hospital Isolation. Of the 601 cases notified, 511 (or
85 per cent.) were removed to one of the fever hospitals,
compared with 90, 80, 88, 90 and 88 per cent. in the five
preceding years. 20 cases were reported, after observation at
hospital, not to be scarlet fever.
35. Return Cases. There were 40 cases (or 6.9 per cent. of
notifications) in which infection was attributed to patients
recently returned from hospital, compared with 27, 29, 37,
31 and 12 in the five preceding years. Of the infecting cases,
9 had some form of rhinitis on or after their return, 3 otorrhcea,
2 sores on face, and 3 catarrh.
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.
The parents of all children with any discharge are recommended
to obtain medical assistance, and the district nurse is
often requested to visit and syringe the ear or nose. Parents
are always advised as to treatment, and children suspected
to be infectious are kept at home and from association with
other children.