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224
during 1899 occurred in 157 houses, compared with
258 cases in 193 houses in 1898.
One house in Adpar Street, from which three cases
were reported during 1899, is composed of independent
holdings, and the three cases were from three
different holdings, each on a different floor. There
was practically no doubt that there were three distinct
infections. With regard to the other houses with
more than a single case, it will suffice to say that in 8
eases the evidence pointed to direct transmission of
infection from the first to the secondary cases; in 4,
more than one case was notified simultaneously;
that in 3 (including that already referred to) the cases
subsequently reported were due to independent infections;
that in 2 instances (5 cases in all) the return
of a previous patient from hospital led to further
infections; and that in one instance, the secondary
case notified as diphtheria, proved subsequently to be
scarlet fever.
In South Paddington the 22 cases were reported
from 21 houses, only one house (in Union Place) furnishing
more, than one notification. In that case the
second notification proved subsequently to be based