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as a case of Scarlet Fever on 12th October. On 14th October,
her sister, on 15th October, her brother, and on 16th October,
another sister were removed to the Isolation Hospital suffering
from Scarlet Fever. As the primary case eventually found its
way into the Isolation Hospital, the other cases might have escaped
recognition as being due to the faults of home isolation, although
in fact they were, and the case illustrates the difficulties which may
ensue in a family from attempting to- nurse a case at home.
(c) Diphtheria.—56 cases of Diphtheria occurred in 1925, as
compared with 82 in 1924, 1131 in 1923, 182 in 1922, and 187 in
1921. Of the 56 cases, 2 occurred in the Girls' Village Homes,
Barkingside. There were two deaths.
This is the lowest number of cases of Diphtheria which have
been notified in Uford for the past 25 years, although in the meantime
the Registrar-General's estimation of the population has risen
from 43,701 in 1900, when there were 70 cases of Diphtheria notified,
to 93,590 in 1925.
With such a low incidence of Diphtheria, I have not considered
it advisable to advocate any general immunization of the population
by the Schick method, although I am fully convinced that this
method is of extreme value in dealing with Diphtheria in districts
where it is continually reaching epidemic proportions.
Only two deaths from Diphtheria were notified in the district,
the patients dying at home. In one case the bacteriological examination
did not confirm the clinical diagnosis.
(d) Enteric Fever.—Ten cases occurred in 1925, as compared
with 5 in 1924, 5 in 1923, 5 in 1922, and 15 in 1921. No deaths
occurred.
Of the 10 cases, 4 occurred at Claybury Mental Hospital (3
were patients and 1 a probationer nurse at that Institution).
Of the six remaining cases, two were admitted to the Isolation
Hospital, the remaining four were nursed at home. Two were