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proportion between the cases and the mortality therefrom.
Valuable information is, however, afforded by the system
adopted by the London School Board, whereby head-teachers
bring to the notice of the Medical Officer of Health any cases
of infectious disease occurring amongst the children where
notice has not already been sent by the latter to the School
Authorities, and as notices of all notifiable infectious cases arc
sent to the schools, it follows that the sickness reported by
the head-teachers relates to non-notifiable diseases. During the
year, one thousand one hundred and fifty-one such notices were
received, but there is reason to believe that this does not
represent the total amount of sickness which occurred, many
of the schools appearing to show greater or less activity in
adopting the School Board's regulations in the matter.
The notices received had reference to the following cases
of sickness occurring either among the scholars or in houses
occupied by such children :-
Measles 446
Whooping Cough 256
Chicken-pox 198
Mumps 161
Other sickness, including Diarrhoea, &c. 90
Total 1,151
A summary of the notices received indicates that sickness
was most prevalent during the third quarter of the year, which,
in view of the summer holidays, really only represents about two
months of school attendance. The disease which contributed
most largely to that total was Measles. During the first
quarter of the year only forty-nine notices were received, and
it is in regard to this period of the year that I am inclined
to assume that the system was not fully adopted; inasmuch