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9
as suffering from Diphtheria. No further case occurred until
November 19th, but the period since the previous case had discontinued
attendance at school was too long for there to be any
direct connection.
I visited the schools and examined the throats of all children
present and took swabs from several suspicious ones, and respecting
one in which there was only the slightest clinical signs of ulceration,
the bacteriologist's report was to the effect "good growth Bacillus
Diphtherae found." This child, whose throat at an ordinary lime
would, if examined, been looked upon as of no importance, had
undoubtedly been the means of spreading the disease. The child
was isolated at home and no further cases occurred.
Enteric and Typhoid Fever.— A marked decline has
taken place in the number of Enteric Fever cases, only 11 having
been notified, the lowest number since 1898.
Generally they were of a very severe type and 5 terminated
fatally, giving a case mortality of 45 per cent.
In two instances the disease appears to have been contracted
outside the district, one at a volunteer camp; at the homes of two
of the patients the drainage and sanitary arrangements were found
to be seriously defective.
Puerperal Fever.— One case only was notified during the
year, this in the practice of a registered mid-wife.
She was suspended from practice until thorough disinfection as
required by the rules of the Mid-wives Board had been carried out.
Erysipelas.— Thirty-two notifications were received during
the year and 5 deaths registered, as against 50 with 1 death last
year, and 42 and 1 death the previous year.
Measles.— During the months of March, April and May, an
extensive outbreak of Measles was prevalent and 19 deaths occurred
(8 in March, 6 in April, 3 in May, and 1 each in the months of
June and August).
Below is shown the schools closed and the period, in order to
prevent the spread of infection:— Haydons Road Infants, March 13th
to April 12th; Holy Trinity Infants, March 20th to April 12th;
Cottenham Park (all departments), April 25th to May 23rd; Dundonald
Infants and Girls, June 8th to July 9th.