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21
One further case occurred on September 22nd, who had
probably been infected before September 20th.
This terminated the outbreak.
In all 79 cases were notified during 1921, and 74 in
1922, after which the sudden drop in the number of cases
notified occurred.
Only one death was attributed to this disease in 1925,
and there were no deaths caused by it in 1923 and 1924.
The issue of Diphtheria Anti-toxin is made through
two chemists, is available at all times, and is stocked only
in phials which contain 8,000 units for treatment and 500
units for prophylaxis, as suggested by the Ministry of
Health. This arrangement works very satisfactorily.
Routine swabbing of all contacts is not undertaken
unless there are indications that this procedure is advisable.
The same procedure as regards disinfection is carried
out as in cases of Scarlet Fever.
The Schick Test has not been employed.
The only case of particular interest during 1925 was
that of a boy, who was treated at home. He had a comparatively
mild attack, but positive swabs were obtained
from his throat for a prolonged period after his recovery.
He was kept isolated until a negative virulence test was
obtained, when he was allowed to go free, and his parents
were strongly advised to have his tonsils removed.
ENTERIC FEVER (including Paratyphoid).
Last year, 1924, the occurrence of six cases of Enteric
Fever was considered worthy of special note, and an outline
of each case was given in the Annual Report for that
year. Very briefly, it will be remembered that three of
these occurred in one family, affecting only the three who
visited London together on a particular day between two
and three weeks before their illness.
Another case had stayed near Dover, while there was
an outbreak of Typhoid in that town. Another case had
been an inmate of the Workhouse for some six weeks
before her illness, and how or when she was infected was
not ascertained.