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7
who suffered from sore throat and general indisposition.
He kept at home two days, and then as
the mother said, she could not keep him indoors
any longer, he went about in the street and
attended the Public Elementary Schools. Three
weeks after the first symptoms of his illness, the
schoolmaster observed that the skin came off his
hands and he sent the boy home. I heard of the
occurrence and went at once to the boy's residence.
I found him in a perfect' state of desquamation,
which in connection with previous symptoms pointed
distinctly to Scarlatina. He was then kept at home
till he was free from infection. In the immediate
neighbourhood of the boy's residence 8 other cases
of Scarlatina were notified within a period of four
weeks, and I think it is highly probable, that they
were all infected from the same source. The
Master of the School was advised to watch the
health of the boys who were sitting near him in
School, but no other case resulted.
Diphtheria—Eleven Sporadic cases were notified
against 19 in 189G, and 22 in 1895. Three proved
fatal. They occurred in various localities of the
district in 11 different houses. With one exception
they were all over 5 years of age and some were
grown up persons. None of the cases could be
traced to an antecedent case. As in Scarlatina the
cases were as far as practicable isolated, the rooms
disinfected, and after disinfection white-washed
and papered.
Puerperal Fever.—The two cases notified
proved fatal.
Enteric Fever.—Three cases were notified.
One case contracted the disease outside the district
and the cause of the others could not be traced,
All three cases recovered.