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tinued. Enteric infections were few. There was one
severe cases of acute Anterior Poliomyelitis which
recovered with some residual paralysis .
The control of the majority of infectious diseases is.
mainly the control of spray infection from the throat
and nose. This is dependent on the more general
recognition that the primary phase of illness is always
the most infectious, that it is nearly always, catarrhal
affecting the throat, nose or lungs, and that the early
isolation of one case on suspicion may prevent
numerous other cases.
Measles and Whooping Cough are liable to be
regarded as minor infections but the complications and
sequelae leave a trail of disability which calls for every
care in the nursing of such cases until full convalescence
has been established.
Scarlet Fever.— One hundred and eighteen cases
were notified, a decrease of three cases. Of these
twenty-five were institutional cases. The disease was
mild. The case rate was 1.65 per 1,000 of population,
compared with a case rate of 1.47 for England and
Wales.
Diphtheria.— Forty-six cases were notified, an increase
of twenty-three cases. Of these sixteen were
from institutions. The case rate was 0.59 per 1,000
of population compared with 1.25 for England and
Wales. There were three deaths of children aged 4,
5 and 11 years. None of the affected children had
been immunised.
ARTIFICIAL IMMUNISATION ACAINST
DIPHTHERIA.
Diphtheria is a very dangerous disease. It is the
most fatal disease in children between the ages of
four years and ten years, and the second most fatal
disease among children between two and five years.
Young children are very susceptible. By the time a
child has reached the age of one year all inherited
immunity to disease has been lost. Every child
should be immunised on reaching the age of one
year.
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