London's Pulse: Medical Officer of Health reports 1848-1972

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Bromley 1911

[Report of the Medical Officer of Health for Bromley Borough]

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13
to be desquamating. His illness terminated fatally. No previous
source of infection was traced. This was evidently a
case of what is termed surgical Scarlet Fever.
The six cases in a private school (three day pupils and three
boarders) occurred in July, and commenced in one of the day
pupils. The first to fall ill among the boarders, had no rash,
and for the time his case escaped recognition. He accounted
for the infection of the other two, and for that of his mother,
who had visited him and developed Scarlet Fever after her
return home.
In connection with this school, there is another, a small
Elementary Private School, the scholars of which do not mix
with those in the private school. Scarlet Fever appeared
among 5 of these, the first one nearly a month after the first
case among the private pupils, and although we were not able
to trace the transmission, there is little doubt the cases in the
two schools were in some way connected with one another.
Two children had to be re-admitted to the Hospital, one
after an interval of only two days, suffering from a nasal discharge;
the other after a month, owing to a discharge from
the ear. In each case there were other children in the house,
but no infection followed.
The greatest number of cases occurred in October, when
30 were reported, but the remaining cases were distrinted
fairly evenly over the other months of the year.
They were scattered throughout the Borough, and with the
possible exceptions of Farwig Lane and Park End, there was
no marked incidence in any particular street or district.