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31
SCARLET FEVER.
The incidence of Scarlet Fever remains low, and the
great majority of cases are of a very mild characte'r.
There were no deaths from this disease.
D1PHTHER1A.
1n November, three fatal cases of Diphtheria were
notified in one house in the Borough. The first was a girl
aged 10 years who was found dead by Dr. X when he was
called on November 15th. On examination he found that
she had a sore nose so he took a nasal swab which proved
positive to Diphtheria. The second case was notified next
day in a sister aged 8 years who was sent into the 1solation
Hospital where she died two days later. The third case was
another sister aged 15 years who was notified on November
17th and sent into 1solation Hospital immediately, but died
soon after admission.
Three other members of this family, (A) girl aged
17 years, (B) girl aged 13 years and (C) a baby boy aged
3 years, were sent into the 1solation Hospital for observation.
The mother and father refused to go to Hospital,
but were given injections of anti—toxin.
(A), (B) and (C) were all swabbed on admission and
positive results were obtained from (B) and (C). (B) was
reported by the parents to have had a bad sore throat about
a month prior to the first known case, but no Doctor had
been summoned. When admitted to Hospital, this girl
showed undoubted results of a severe attack of Diphtheria.
The Medical Officer of the 1solation Hospital, Dr. X
and myself are all of opinion that the original case was (B)
who had been ill about a month before the outbreak and
for whom no medical aid was sought.
A special Report on this outbreak was sent to the
Ministry of Health.
1mmunisation.
Dr. D. S. Murray carried out the work, which consisted
of an initial Schick Test followed in those found positive
by three injections of T.A.M. The first two injections