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SOPHIA RAYBOULT.  This girl, aged 6.1/2, in Standard I., was taken ill in school of November 8th, and died the following day.  The attention of the Department was directed to the case by a letter which appeared in the “School Guardian”, written by the master of the school, attributing the death to overpressure, and enclosing a certificate from the surgeon who attended her to the effect that death resulted from acute meningitis and convulsions, the result of overwork of the brain.  From an inquiry instituted by direction of the Department, it was ascertained that the child had recently had an attack of scarlatina, and had been absent five weeks in consequence.  Since the attack she had suffered slightly from dropsy, but returned to school apparently restored to health on October 5th, and attended regularly till November 8th.  On that day the master, on visiting Standard I., noticed her crying and looking ill, and at once sent her home.  After such suffering and intervals of delirium, during which she fancied that she was doing her lessons, but was interrupted by the buzzing of a fly, she died 19 hours after her first seizure.  The surgeon stated positively that the cause of death was meningitis, which could have been caused only by over study.  Having regard, however, to the fact that the girl suffered so recently from scarlatina, it was thought desirable to submit the evidence to the medical officer of the Local Government Board.  The report of that gentleman was to the effect that many symptoms in the case were equally compatible with euaemic poisoning, as the dropsy showed that the child was suffering from kidney disease as a consequence of scarlatina, while others were inconsistent with meningitis; that in the absence of any post-mortem examination the statement that the disease could be nothing but meningitis was incomprehensible; and that there was nothing in the evidence but the doctors’ dictum to show that over study was the cause of illness.  In answer to inquiries the mother of the child stated that her daughter too great delight in her school life, that her work did not appear to press on her in any way, and that she had no home lessons; and she declared that she did not consider that school work had anything to do with the illness.