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48
traced back to some slight indisposition; or the occurrence of a recognised
case causes search to be made, and the primary (unnotified) case is found
to be desquamating. The very mildness of the disease is the greatest
hindrance to its recognition and the application of appropriate measures.
Disinfection of premises is not carried out as a routine measure. No
reliance is placed on it as a means of arresting the spread of infection.
When disinfecti jn is asked for, it is not refused; but the request is acceded
to only because of the sense of security it gives to those who ask for it,
and not because any reliance is reposed in its efficacy.
The number of Scarlet Fever cases notified in the district in
1925 was 427.
68 patients were removed to hospital (including 5 who received a
few days' period of treatment by the Council's Nurses prior to removal).
355 patients were treated to a conclusion by the Council's Nurses and
4 were treated privately in their own homes. 4 of the cases removed
to hospital were wrongly diagnosed, 3 being Tonsillitis and 1 Abscesses.
The 360 patients treated by the Council's Nurses in their own
homes were distributed as follows :—
272 premises in which 1 case occurred = 272 cases.
31 premises in which 2 cases occurred = 62 cases.
7 premises in which 3 cases occurred = 21 cases.
1 premises in which 5 cases occurred = 5 cases.
311 premises. 360 cases.
Multiple Home Cases, 1925:—
No. occurring within 1 week after previous case 26*
,, 2 weeks ,, ,, 6
,, 11,, ,, ,, 1
49†
*In 12 of these instances, dual notifications were received simultaneously,
and in 2 instances triple notifications.
†This number includes certain cases wrongly diagnosed.