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57
aid where such is required. Advice should be given by the official
visiting the houses as to the care and nursing of the patients. The
Metropolitan Asylums Board agreed to receive cases of measles on
the recommendation of the Medical Officer of Health, subject to their
limited accommodation being available, after pauper cases have been
provided for.
In the first three months of 1911, 1,581 deaths were registered in
London from this disease, the highest number being in the month of
March. The death-rate for London was, in the 1st quarter, 1-40 per
thousand, for Westminster 027. It fell in the 2nd quarter to 061 and
022 respectively.
There were 24 deaths in Westminster in the year. For the 12
months the rates were 0.57 for London and 014 for Westminster per
1,000 of population. The average deatli-rates for the preceding 5 years
being 0.42 and 0.13, respectively.
During the year 596 cases came to my knowledge, 478 having been
notified by school teachers (particulars as to the schools are given later
in this report). The group of schools in St. John's and St. Margaret's
Wards furnished 177 cases, Millbank school alone having 74; there
were 76 in the Pimlico schools, 91 in the Mayfair group, of which
St. Anselm supplied 77 ; 85 cases occurred in the Soho schools, and 40
in the Strand and St. Martin's area.
Visits were paid by the women inspectors in cases notified: advice
is given verbally and printed instructions are left at the house.
Wherever necessary, the inspectors visit throughout the illness, see that
medical attendance is obtained, and that proper attention is given to the
cleanliness of the rooms, bedding, &c. Disinfection of 227 rooms and
of 2,739 articles was carried out by the Council's staff in 133 houses
Fifteen children were removed to the Metropolitan Asylums Board's
hospitals for treatment. In 19 schools unprotected children under five
year of age were excluded for varying periods.
Whooping-Cough.—This complaint was responsible for 29 deaths,
all but one of children being under five years of age; 279 cases were
notified to me (for particulars as to schools affected see list below).
In London, the fatal cases were slightly less than the corrected
average number for the previous five years. In Westminster they were
a little above.

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