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49
The small block in the grounds has again been used as a
discharge block for scarlet fever. To this convalescent cases have
been sent during the last fortnight of their stay, where they have
been in charge of an attendant, who does not come into contact with
the acute cases.
Four return cases of scarlet fever occurred during the year,
and these were during the early part of the year when there was
much pressure on the accommodation.
Four cases of diphtheria developed scarlet fever during their
stay in the hospital.
There were five cases of double infection, three of the scarlet
fever cases developing whooping cough and two chickenpox. In
seven cases operations were required, tracheotomy being performed
on four occasions, one case of diphtheria developed acute
appendicitis necessitating operation, and two were operated on for
glandular suppuration.
Many of the cases admitted were of an extremely serious
character and required much attention. The nursing staff have
carried out their duties in an entirely satisfactory manner.
The more serious cases, especially the more septic cases of
scarlet fever, were treated as far as possible in the open air.
There is unfortunately, no verandah on which beds can be placed,
and in consequence such treatment was only possible on fine days,
and beds had frequently to be hurriedly dragged under cover in
the event of rain. The results, as in the past two or three years,
have been so encouraging that the nurses have cheerfully faced
the difficulties which were inevitable. It would, however, be advisable,
either in connection with a new block or separately, to provide
a verandah to the scarlet fever wards where cases can be more
efficiently treated in this manner.
Seven deaths occurred in the hospital during the year, six
being cases of diphtheria and one of scarlet fever.
Following is a table of the notifications of scarlet fever and
diphtheria, and the percentages of cases removed during the past
six years.