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confirmed by bacteriological diagnosis. Instead of that, the
injection is often delayed until this is received, and bacteriology,
which might be so helpful, becomes a hindrance.
No doubt the necessary inconvenience associated with injection
does form a difficulty to the busy practitioner in the poorer districts,
and in the near future it may be that the operation on request may
be done by the Medical Officer of Health as a measure for the
protection of the contacts in the same way he vaccinates as a
matter of urgency when smallpox has appeared in a household.
CASES OF INFECTIOUS DISEASES NOTIFIED DURING THE YEAR 1921
Total Cases
Removed
To Hospital.
E. Dulwich.
N.W.
Camberwell.
Peckham.
Returned
Cases.
North
Camberwell.
Dulwich.
Notifiable Disease.
Smallpox
...
...
...
...
...
...
Cholera
...
...
...
...
...
...
...
Plague
...
...
...
...
...
...
...
Diphtheria (including Membranous
Group
23
111
215
274
247
5
829
Erysipelas
11
33
42
38
1
34
...
40
265
463
652
539
23
1,752
Scarlet Fever
Typhus Fever
...
...
...
...
...
...
...
4
15
Enteric Fever
5
3
5
2
...
Relapsing Fever
...
...
...
...
...
...
...
Continued Fever
...
...
...
...
...
...
Puerperal Fever
...
3
3
...
5
3
13
...
Cerebro-spinal Meningitis
1
2
...
1
...
1
...
Poliomyelitis
3
1
1
...
...
...
...
Ophthalmia Neonatorum
4
12
5
11
...
15
...
147
211
Pulmonary Tuberculosis
21
59
157
...
...
Other forms of Tuberculosis
2
8
40
56
49
...
...
Pneumonia
3
7
10
36
50
...
36
1
9
Encephalitis Lethargica
...
5
2
4
...
3
23
14
Malaria
...
...
...
...
Dysentery
1
4
6
...
...
...
...
Anthrax
...
...
...
...
...
...
1
...
Trench Fever
...
...
...
...
...
The notifications of enteric fever in its various divisions showed
an increase from 5 to 15. In 1920 there were no notifications
either from Dulwich or North Camberwell, yet in the year now
under consideration there were six cases, but in London taken as a
whole the disease does not seem to have been so prevalent. To this
result the strict supervision of the sources of food, and especially to
the more careful supervision to that of fish supply, has probably
largely contributed.
As mentioned in the early part of this report, no genuine case of
smallpox was reported; but there were several false alarms, and the
aid of the County Council Consultant was sought on more than one
occasion. Nothing more has been done in the way of providing a
house in which persons might be kept in quarantine after the