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The disease on the whole was fairly mild, though some cases were quite
severe.
Four were return cases, i.e., cases admitted from a household within
28 days of the return of a case of scarlet fever to that household. This gives a
return case rate of 3.8 per cent., which is low.
The complications noted were as follows:—

There were two deaths from scarlet fever ; one patient died two hours
after admission from heart failure and acute toxaemia ; the other died 73 days
after admission, from pericarditis.
Five minor operations were performed, all for abscesses in the neck.
There was no case of cross infection during the year. One case developed
a rash which was very suspicious of measles and in order to safeguard other
susceptible children in the ward a supply of convalescent measles serum was
obtained from the London Fever Hospital and four susceptible children were
injected with it. No secondary case occurred.
Mixed Infections.
Two of the scarlet fever cases on admission were found to be suffering
in addition from another disease, one from measles and the other from
pneumonia.
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