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Scarlet Fever.—265 cases of this disease occurred in 1930, an increase
of 38 on the figures of 1929. The Victoria and St. John Wards showed a
marked increase, the distribution in the remaining wards being normal.
There were 2 deaths. The case rate of this disease per 1,000 of the
population was 2.38 for the City, and for England and Wales 2.76.
The death rate for Westminster was 0.01 per 1,000 and that for London
and England and Wales was 0.02 respectively. Of the total cases in
Westminster 99.6 per cent, were removed to hospital.
Diphtheria.—256 cases of this disease occurred, showing an increase
of 86 on the figures of 1929. The wards showing a marked increase
are St. John and Victoria. The largest number of cases occurred
between the ages of 5.10 and 20.35. There were 6 deaths (5 males and
1 female), giving a rate of 23.4 per 1,000 cases. The case rate of this
disease for Westminster was 1.9 per 1,000 living, and for England and
Wales 1.84. The death rate for Westminster was 0.04, and for England
and Wales 0.09.
Report on Schick Testing and Immunisation Treatment against
Diphtheria in Westminster, 1930.
This treatment was continued throughout the year at the Council's
Maternity and Child Welfare Centres and at the Westminster Health
Society's Centre at 30, Page Street, one clinic being held at each Centre
weekly.
225 new cases attended during 1930, as compared with 204 the previous
year. 960 cases have been dealt with in four and a quarter years, an
average of 226 per annum. There seems no reason why this average
should not be maintained without undue calls on the time of the staff
and without any extensive propaganda.

The work entailed 291 tests and retests, 584 protective injections and
135 attendances for inspection only, a total of 1,010 attendances.
As in previous years, it was found that a considerable proportion of
the patients (about 12 per cent.) had not been vaccinated against smallpox.