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found to be exposed. Fortunately, however, he made a
complete recovery and was discharged from hospital with
no apparent after-effect.
Two children suffering from scarlet fever were incubating
chickenpox on admission and developed the disease
whilst in hospital.
A further case of scarlet fever developed a severe and
prolonged attack of erysipelas during the course of her
illness.
Anti-scarlatinal serum was used fairly extensively. Most
of the patients, with the exception of those who had the
disease in a very mild form, received an injection of this
serum on admission.
The serum appeared to lower the temperature considerably
and to make the patient much more comfortable. The
liability to complications, however, did not appear to be
appreciably diminished. The same result has been experienced
in previous years.
Two "return" cases occurred. This amounts to 1.62
per Cert. of the patients discharged.
Diphtheria.—One hundred and three patients were
admitted to the Isolation Hospital as cases of diphtheria.
The admissions were therefore twelve less than during 1931.
Of these one hundred and three cases, eighty-one ultimately
proved to be suffering from undoubted clinical diphtheria.
Fourteen of the patients were contacts who had been swabbed
and found to be harbouring diphtheria bacilli either in
the nose or throat. In eight patients the diagnosis of diphtheria
was not sustained after further investigations had
been carried out subsequent to their admission to hospital.
The following complications were noted amongst the
one hundred and three patients under treatment:—
Palatal Paralysis 15
Ciliary Paralysis 4
Multiple Neuritis 10
Pharyngeal Paralysis 2
Paralysis of External Rectus 2
Otitis Media 3
Adenitis 1
Nephritis 1
Secondary Tonsillitis 3
Bronchitis 1
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