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that infection with Haemolytic Streptococci of the Franklin
type rarely produces a rash. The outbreak seemed clearly to be
primarily streptococcal amongst Diphtheria carriers.
After this series it was decided to press for parental permission
to immunise against Diphtheria and, beginning in July, no failure
occurred in the immunisation of susceptible children. Only one
other case of Diphtheria followed during the remainder of the year
and this was in the only patient in the Hospital at the time for
whom immunisation had been refused.
ENTERIC FEVER.
Six cases of Enteric Fever were notified between 29th August
and 24th October, 1932. One was a case of typhoid, one paratyphoid
A, and three were paratyphoid B, whilst the sixth case
was not definitely proved.
All the patients were either notified from a Hospital after
admission there or removed to Hospital after notification. Three
patients were treated at the Connaught Hospital, two at Whipps
Cross Hospital, and one at Middlesex Hospital. All patients
recovered.
In no case was a definite source of infection discovered in spite
of the most careful enquiry.
The sex, age and ward of each patient was as follows, Male, 27,
High Street; Male, 8, Higham Hill; Male, 21, High Street;
Male, 6, High Street; Female, 5, High Street; Female, 20, St.
James' Street.
PNEUMONIA.