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7
of the month, by which time the servant, three children,
the mother and the aunt, all living in the same house were
down with it. The anti-toxin treatment was here used in
most if not all the cases, and there was fortunately only
one death, but the incident points to the advantages
attendant on complete and perfect isolation, and to the
difficulties of carrying this out efficiently in an ordinary
household. No sanitary defects were found. One death
took place in the Isolation Hospital, that of a young woman
who had been in attendance on her brother whose death
was registered as from "septic tonsillitis," otherwise
quinsy. In connection with this disease the anti-toxin
treatment just newly brought into notice was used on a
few cases during December, and early in the present year
your Board sanctioned my making special arrangements
for the supply of serum and for communicating all
necessary particulars to every medical man known to be
at any time practising in Surbiton. This will be referred
to in detail in my next report.

* 27 of these cases were due to an infected milk supply.
Scarlet Fever.
The epidemic of this disease from which in point of
numbers we suffered so heavily in 1893, in common with
the whole country, had almost left us, there being but nine
notifications compared with ninty-four of that year. Five
of these were removed to the hospital, three children from
one family and a domestic servant from another, there were
no fatal cases.