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29
PUERPERAL FEVER
was notified on 16 occasions, in 11 of which a doctor was present at
the confinement.
Puerperal fever occurred twice in cases attended by midwives
who were suspended from practice for three and 14 days respectively
until their clothing and outfits were cleansed and disinfected.
Five cases ended fatally.
ERYSIPELAS
was notified on 92 occasions, and three cases ended fatally.
TUBERCULOSIS
of all forms was the assigned cause of death in 205 instances, or 1.3
per 1,000 persons living, while phthisis alone was responsible for 152
deaths or .94 per 1,000.
It will be seen from Table VI. that there is a slight decline in
the mortality from phthisis.
Voluntary notification has been in force since the last quarter
of 1903, and since January 1st, 1909, all cases treated by Poor Law
Medical Officers have been compulsorily notifiable.

Of the 139 cases notified in 1909 fifty-six were notified by the
Medical Officers of the Croydon Union Infirmary, and 26 by the local
district medical officers. I cannot but think that the notifications
received from the latter are incomplete.
TUBERCULOSIS AND MILK.
Pending fresh legislation, no samples were taken under the
Model Milk Clauses during the year.