KVENTION OF SCAKM 1 I I \ 1 I; 23 



child's mouth and air passages. 



In this connect must be borne in mind that, 



examination :: Koplik's spots, an 



attack of measles may sometimes be detected 



e, or even four, days before the appearance of 



the rash, ami thus preventive precautions can be 



adopted at a very early stage indeed 



October 1909 three oases of measles occurred 

 simultaneously in a branch Home with sever 



They were treated on the above lines. 

 : o was no further case. 



All the scarlet fever cases detailed in the A 

 following pages have occurred since the appearance - 

 of my first paper in the / Medical Journal 



of 31st October, 1908. The record is, I beli. 

 I may perhaps be permitted to ment : 

 here that without the co-operation of my son, 

 IT. J. A. Milne, Resident Medical Officer at I 

 Majesty's Hospital, Stepney Causeway, it would 

 have been impossible for me to carry out the 

 necessary requirements. I am greatly indebted to 

 him for his watchful oversight of the cases wh 

 have come under his care, as well as to other 

 o w- workers. I may also add that these cases 

 have been closely examined and the histories ca 

 fully gone into by some seventeen medical super 

 tendents of scarlet fever hospitals, and by o 

 two hundred medical officers of health and general 

 practitioners. I would have greatly preferred to 



