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98

Scarlet
Fever.
Diphtheria
1.
No reasonable presumptive evidence
106
or
59.2%
108
or
65.0%
2.
Probable school infection
51
or
28.4%
41
or
24.7%
3.
Probable infection in patient's own
family
8
or
4.4%
6
or
3.6%
4.
Probably by infection in near house
5
or
2.8%
5
or
3.0%
5.
Probable " returned " case infection
4
or
2.2%
1
or
0.6%
6.
Probable infection in Hospital
3
or
1.7%
4
or
2.4%
7.
Probable infection in other family in
house
2
or
1.1%
1
or
0-6%
8.
Probable infection in a waiting room
0
or
0.0%
0
or
0.0%
Several astonishing presumptive facts are thus brought to light: —
{a) The extremely small proportion of infection in the patients' own
family or house.
(b) Not one single case could be traced as having been infected by
contact with a case in a waiting room of a hospital or surgery.
At first sight 59.2% and 65% of untraced infection appears to be rather
large. It must be remembered, however, that there is no evidence to show that
these cases were infected in the family, or the house, or the waiting room, or
the hospital. They must therefore have been infected in school or in neighbouring
houses, streets or playgrounds, but there was insufficient evidence to
say which.
The only possible preventive measures (apart from school measures) appear
to be: —
1. Immunisation.
2. Education of parents—infectious children kept at home and not
allowed to go to school or into other homes.
Enteric There were 11 cases of Enteric Fever notified during the year, 7 of which
Fever • . _
were paratyphoid. 1 belonged to Limehouse, 5 to Mile End Old Town, and
5 to Whitechapel. All the patients were removed to hospital and there was
only 1 death—that occurred in Limehouse.
The death-rate for the whole Borough was .004 per 1,000 of the population.
Chicken Pox. The compulsory notification of Chicken Pox was only continued up to the
8th May owing to the drop in the number of Small Pox cases occurring in the
Borough. 396 cases were notified : —
90 belonged to Limehouse.
34 belonged to St. George-in-the-East.
221 belonged to Mile End Old Town.
51 belonged to Whitechapel.
40 were removed to hospital.