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The numbers last year were 140, 8 and 39=187.
PUERPERAL FEVER.
Five cases of this disease were notified during the year. Three died, one a
resident in Edmonton Infirmary, and one in the London Hospital; so the deathrate
is 1.61 per thousand nett births. (See Section "Births.") One case from
Tottenham was not notified from the Edmonton Infirmary and ended fatally.
One case was doubly notified.
On the receipt of a notification of Puerperal Fever, the case is immediately
investigated, and the facts communicated to the County Medical Officer of
Health, who has the administration of the Midwives' Act, 1902. At the end of
1913, there were 20 registered midwives residing and carrying on their work in
our district, compared with 18 for the previous year.
During 1913, there were 273 midwives practising privately in Middlesex
and 417 not practising; besides, there were 21 engaged in poor-law infirmaries
who are exempt from the provisions of the Act.
No midwives were removed from the midwives' roll by the Central Midwives
Board, but four were cautioned. During that year no uncertified women
were prosecuted by the County Council for acting as midwives, but cautionary
letters were sent to two of them.
The County Public Health Committee report that "there is no reason to
think that in the County area there is inadequacy in the number of practising
midwives,"
OPHTHALMIA NEONATORUM.
This disease was made compulsory notifiable by Regulations which came
into force on the 1st April.