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One of the difficulties in school control is still that cases are
not detected and isolated early enough. Eight cases this year
again were actually in school on the day the rash came out.
Paratyphoid B. There was one case of paratyphoid during
1951. Four days prior to onset the lady concerned had returned
to England from holiday in France and Italy. The last place
she could remember staying was Santa Margharita, Italy, but
at the time she was febrile and was not very clear about which
particular places she was at at particular dates. However, the
source was evidently outside England.
Blood culture grew paratyphoid B.
She was treated with Chloromycetin and the temperature
subsided to normal within 48 hours and she had no further
symptoms. She had three negative stools and was discharged
well, within three weeks of admission.
Poliomyelitis. With regard to the country as a whole,
the year 1951 was a non-epidemic year and there was one case
in the district notified and one death. Prior to this in 1948, the
previous non-epidemic year, we had 8 cases. In the epidemic
year of 1947 there were 22 cases, although there were no deaths.
The one case this year was in a child of two who was a nonresident.
He was admitted to hospital in the district and as
the diagnosis was made in the hospital the case was, of course,
allocated to this area. The child unfortunately did not recover
and the certified cause of death after post-mortem was Polioencephalitis.
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