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46
they considered the distribution of clearly-worded leaflets
useful, but of still more importance "personal visits and
the offer of practical advice to the mothers of babies born
within the last twelve months." The necessity for
efficient scavenging was pointed out, and for "the frequent
and, if practicable, daily" removal of house and stable
refuse, especially in the areas in which diarrhoea is
specially prevalent.
As I have already stated, owing to the Council not
having appointed a Health Visitor, it was not possible in
Fulham to carry out efficiently the recommendation of
the Board as to personal visiting, but a leaflet on the
prevention of diarrhoea, which is printed in the appendix,
was distributed before the issue of the circular, and the
Surveyor kept the courts and avenues regularly
scavenged and flushed. A more frequent removal of
house refuse in the summer months has been repeatedly
urged in these reports, and arrangements for this
should be made by the Council without further delay.
DEATHS FROM OTHER DISEASES.
Influenza.
Nineteen deaths were certified to be due to influenza,
the numbers for the preceding three years being 33, 22,
and 28.
Cancer.
Malignant diseases caused 171 deaths, representing
a death-rate of 1.12 per 1,000 against a decennial
average of 1.03.
Diseases of the Respiratory System.
From these diseases there were 373 deaths, or 16.7
per cent. of the deaths from all causes, being 50 below
the decennial average.