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56
Case 1—May 25th D. H., aged 3 years
„ 2— „ 30th J. W. B. „ 3 „
„ 3— „ 30th A. W. K. „ 3 „
„ 4— „ 30th G. A. „ 4 „
,, 5 ,, 31st J. A. ,, 5 ,,
On the occurrence of these cases I visited the Orphanage
and arranged for the isolation of all contacts and suspicious cases.
The Orphanage at this time contained 94 boys. The
patients above referred to resided in the Orphanage, and
attended the St. Stephen's Schools.
On June the 19th a recrudescence of the disease occurred,
four boys who also attended St. Stephen's Schools contracting
the disease:—
Case 6—June 19th H.C., aged 8 years
7— „ 22nd A.G. „ 8
„ 8— „ 23rd R.T. „ 12 „
„ 9— „ 29th N.D. „ 9 „
On the appearance of these fresh cases I again visited the
Orphanage and personally examined 89 boys. In 21 cases
swabs were taken from suspicious throats and submitted to bacteriological
examination. The results necessitated the isolation
and observation of six boys.
The drainage and sanitary fittings of the Orphanage were
thoroughly examined and found to be satisfactory, except the
lavatory fittings which required alterations. The investigation
carried out at St. Stephen's Schools, together with the fact that
only those boys who attended the schools were attacked, led one
to the conclusion that the original source of infection was at the
St. Stephen's Schools and not at the Orphanage.
St. Stephen's Schools.—These schools were inspected,
and the sanitary fittings were found to be in a foul and filthy
condition, and the drainage defective. Diphtheria was