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7
but little influence on the spread, as proper precautions
were taken to exclude all children from
infectious houses for a period of six weeks. As in
the case of Scarlatina, Diphtheria never appeared
in an epidemic form. A case occurred in August
in a dairy, and as we have no isolation hospital,
the child had to remain in the house, constant and
strict supervision had to be exercised to prevent
any contamination of the dairy produce. The
patient was perfectly isolated at the top of the
house which was fortunately very roomy, and
other conditions were also favourable to avoid the
closing of the business. The milk and butter was
removed from the shop and kept in premises apart
from the house, and disinfectants freely used. The
case occurred in the beginning of August, and no
other case was notified for many weeks in the
district, and those which were notified afterwards
had their milk supplied from other sources.
In all cases the usual measures against the
spread were taken, personal instructions given for
distribution of disinfectants and whenever practicable
isolation.
Small Pox.—No case.
Puerperal Fever.—One case was notified and
the patient recovered.
Enteric Fever.—Three cases were reported
and one was fatal. The patient was brought from
a neighbouring district to the Cottage Hospital,
and I gave the Medical Officer of Health of that
district notice of the outbreak. The two other cases
occurred in new houses, in which no fault could
be found with the water supply, drains or other
sanitary arrangements, and I was unable to detect