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16
Since the two children attended the same class at school,
absentees were followed up with the result that a third child who
had been ill at home for some three weeks was considered to be
a further possible case of Typhoid. The position was complicated
by the fact that a sister had suffered from Paratyphoid in 1938.
The first blood test result was not diagnostic but the rectal swab
was later reported to be positive to Typhoid.
Information as to the position was circulated to all Medical
Practitioners pointing out that the only two common factors were
attendance at the same Sunday school and the same day school
class.
The onsets in the three cases were 3rd, 6th and 13th January.
The most suggestive feature was a party at school just before
Christmas to which food was largely contributed by the parents.
A detailed list was prepared for each scholar as to (a) food con'
tributed to the party and (b) food consumed. In spite of the
closest investigation no definite cause could be found.
Consultation was made with the Medical Staff of the Ministry
of Health one of whom carried out further enquiries and visits—
again unfortunately with no definite result.
Immunisation and Infectious Diseases Clinic.—Follow-up
arrangements were as detailed in the 1939 report.