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20
Surbiton the disease had not been diagnosed, but
greater care might have been taken to find out what
was wrong before removing the patient.
Two children attending a school in Middlesex
were attacked on the same day. It was found that
they sat next to each other in class, but nothing
appears to have been discovered to account for the
origin of the disease at the school ; but the house in
which the scholar living in Kingston resided was not
in a satisfactory condition. Both children made
good recoveries.
One child attacked was found to have played in
the street with another child who was notified two
days previously, the second child suffering from
Diphtheritic Paralysis, although she had shown no
signs of illness when another member of her family
had been attacked with Diphtheria six weeks previously.
This shows that this disease may be so mild
as to be readily overlooked, though likely to be
followed by paralysis and capable of transmitting
infection to susceptible persons.
Croup and Laryngitis.
The ages of death of the children were 11
months, 14 months, 3 years, and 4 years. The first
was returned as Membranous Croup, and I should
imagine that the other cases would have been more
correctly returned under the head of Diphtheria.
No P.M. examination appears to have been made to
substantiate the diagnosis.
Membranous Croup has now been added to the
list of notifiable diseases.
Whooping Cough.
Five deaths occurred under one year of age,
2 under five years, and 1 over five years. These