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63
WHOOPING COUGH.
The deaths from this disease were 60 for the year.
The annual death-rate per 1,000 living was 0.28.

470 cases of Whooping Cough were notified to the Medical Officer of
Health from the Schools.
CEREBRO-SPINAL FEVER.
During the year three cases of Cerebro-Spinal Fever were notified,
of which two died.
CHICKEN-POX.
During the year 613 cases of Chicken Pox were notified to the
Medical Officer of Health from the Schools.
PHTHISIS.
The total number of Phthisis cases notified during the year was 48'2,
of which 112 only were notified voluntarily, the remainder being Poor
Law cases. Of the 112 voluntary cases, 18 were notified from Brompton
Hospital, 6 from St. Margaret's Hospital, 7 from Guy's Hospital, 11 from
the Surrey Dispensary, 3 from Royal Victoria Hospital, Netley, 1 from
Mount Vernon Hospital, and 1 from City Police Hospital, Bishopsgate.
These figures show that voluntary notification by the Medical practitioner
is scarcely ever done, and, for any good purpose, may be considered as
almost useless. This cannot be denied when out of 3,000 cases of
Phthisis which could be voluntarily notified only 65 cases were in that
way brought to the notice of the Medical Officer of Health. Progress by
stages is, however, being made towards compulsory notification, as in the
vear under consideration besides all Poor Law cases steps were taken to
have all those attending hospitals, whether as in or out patients, notified.
This is an excellent advance. All cases of Phthisis coming to our notice
are immediately visited by the ward inspector, who examines the house
and makes his report. The patient or the friends at the same time are