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62
It must be admitted that notification of the disease in a district does
not appear to lessen the number of cases. The knowledge, however, of
the locality of the cases, and the opportunity it gives of supervising the
early treatment of them, must when that is efficiently done result in a
smaller fatality. This is proved by the small fatality occurring among
children of parents in comfortable circumstances. The first step, therefore,
in the prevention of the excessive mortality is to discover the
locality of the cases, to remove the ill-accommodated to hospital, and to
supervise the remainder treated at home.
With regard to the disinfection after measles I strongly advocate it
if only on the grounds of cleanliness
Recently arrangements have been made for the admission of
patients suffering from Measles and ill accommodated at home into
the hospitals of the Asylums Board on the recommendation of the
Medical Officer of Health, and further, on the suggestion of the Local
Government Foard, it is hoped that the information of the disease being
in a family will be transmitted by the visiting School Board Official much
earlier than has hitherto been the practice.

The death-rate per 1,000 living was 1.06.
The Wards mostly affected were St. Michael, St. George and St
Peter, in the order named.
The number of cases of Measles reported to the Medical Officer of
Health from the Schools was 2,307.
Every case of Measles coming under our notice was visited and the
house thoroughly inspected.
Our usual handbill in regard to the prevention and treatment of the
disease was widely circulated.