36 



HOME TREATMENT AND 



Source of 



Particular 



I i.M'S. 



were well marked, both in the initiatory stages 

 as well ad in the peeling. In this outl 

 Stepney Home School infection was i-xdiuled. 

 No common source could be traced, but as the 



la are allowed to go out freely, and as m; 

 cases occum d in the district, this is most probaMy 

 the cause. The other cases attt 

 schools. 



Two cases in the Stepney outbreak call for 

 special attention. 



The first came under our medical care after 

 he had been ill for some days. The history sheet 

 on his admission to the hospital reads : " Sore 

 throat for several days, headache, vomiting, well- 

 marked eruption." He did not complain, however, 

 previous to his admission. He was then trea 

 in the usual way. His case ran a favourable 

 course until the fifteenth day, when he had 

 pyrexia, and complained of pain in the gland at 

 the angle of his jaw. Afterwards an abscess 

 was opened. Heavy albumen appeared on the 

 seventeenth day. Subsequently endocan! 

 followed. He died on the thirty-sixth day. To 

 me this does not negative the claim I have made 

 for my special treatment. For, in this case, 

 treatment was not commenced, by any means, 

 at the earliest possible moment, as I have always 

 so strongly advised. It comes into line with 

 many of the isolation hospital cases, for ampK 



