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families a parent and four children. Almost always at least two
of the family were carriers, and eight families accounted for
thirty-one of these. Control of the adult carriers proved
difficult but family doctors were most helpful in arranging
treatment at home. Some anxiety was felt about one expectant
mother who was advanced in pregnancy and booked for hospital
confinement. Fortunately she was cleared from infection before
admission.

* Junior School classes accommodated in Infant building.
Contact between classes was restricted as far as possible,
e.g. at play and meal times, but some inter-class contact
inevitably occurred especially out of school. The use of the
schools for club meetings was suspended.
The same, rather unusual, strain of diphtheria bacillus was
found in aii those infected but the original source was never
traced.
Paratyphoid Outbreak
On January 5th Notification was received that a nurse, K.M,
aged 19, who had been in the sick bay in Connaught Hospital for a
week, was suspected of having Paratyphoid Fever 'B' (Phage Type I).
My Deputy at once visited her and obtained details of her relevant
medical history and of her contacts during the previous four weeks.
The diagnosis was not in doubt and she was transferred to the
Infectious Diseases Unit at St. Ann s General Hospital the next
day. Treatment was given with chloramphenicol in full dosage
(G.1, 6 hrly.) for a week and at reduced dosage for a further
fortnight. Apart from some peripheral neuritis no complications