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13
illness amongst his staff Dr. Kirkhope was compelled to recall her
on October 30th. I was fortunate in obtaining one of Dr. Milne's
own nurses to take over the treatment till it was concluded on
November 4th. The results can only be described as entirely
satisfactory. One case of Rhinorrhoea and one of enlarged glands
occurred, but no secondary cases could be traced to the ones
treated by this method No disinfection was carried out and no
alteration made in the daily lives of the contacts.
The total expenditure on these cases, including nurses salaries,
travelling expenses and drugs (a considerable portion of which
remain on hand) was £23:13:5, working out at £2:3:0 per
case, the nurses were not working up to their full capacity, otherwise
the cost per head would have been less.
An instance of the difficulty of dual control in an area is
shown by the fact that the County Education Committee called
the County Medical Officer's attention to the fact that the rule
at the County School did not permit contacts from bouses where
the Milne treatment was being carried out to attend school.
On the 21st June, 1922, an adult, aged 20, was notified as
suffering from Scarlet Fever. On the inspector visiting the house,
it was found that the patient on hearing that he had to be removed
to the Isolation Hospital had decamped. Search was made, but
he could not be fouud. On visiting the next morning it was found
that he had returned home after having been to a cinema the
previous evening, but had already decamped again. He was
eventually found in the Public Recreation Ground. He was with
difficulty got into the Hospital. The Council authorised the Clerk
to take proceedings against the patient on his discharge from
hospital. This was done and a fine of £1 inflicted.
The table hereunder gives the number of oases of infectious
diseases that occurred in the several Institutions in the district
during 1922:—