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suspicion that they were convalescing from Scarlet Fever,
but duplications in the class rooms from which they were
removed were conspicuously absent.
An unusually large number of multiple notifications, that
is, two or more cases occurring in the same house, were
received during the year, and especially during the latter
part. In no less than 7.9 instances did we receive multiple
notifications, dual 49 times, triple 22 times, quadruple 6
times, and quintuple twice.
The largeness of the number was probably accounted for
by the necessity of nursing so many cases at home, owing to
the insufficient hospital accommodation.
Eleven members of the staffs of the different hospitals in
the district were affected.
Scarlet Fever followed shortly upon the receipt of an
injury in 5 cases, the injuries being burns, extraction of
teeth (2), removal of tonsils, and dog bite.
In 5 instances the patient arrived in Tottenham from a
distance whilst incubating the disease.
Eleven cases were traced to contact with members of
other households suffering from the disease.
Fifteen cases arose after the return home of Scarlet
Fever patients from hospital. The time between the arrival
of the patient from hospital and the onset of disease in the
subsequent case or cases varied from three days to six weeks.
When the period intervening between the arrival home of
the discharged patient and the onset of disease in the
subsequent case or cases extended to 5 or 6 weeks it was
found that the former suffered from such conditions as
discharging ears or nose, enlargement of glands, or
desquamation.