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27
Diphtheria and Membranous Croup. I received notifications of 37
cases during the year, compared with 20, 67 and 89 in 1917-16-15, and they
represent an attack rate of 0.50 per thousand of the population. There were
five deaths, giving a death-rate of 0.07 per thousand of the population. One
case was complicated with whooping cough. There was one case doubly notified.
There were 4 secondary cases. There were no cases notified from the
Edmonton Infirmary, neither Edmonton residents nor non-residents. Return
cases.—See section on "Hospitals." There were 6 cases notified where subsequent
observation did not confirm the diagnosis; one case was transferred to
the scarlet fever list; they are not included in the above figures.
Anti-Toxin, in curative doses of 4,000 units, and preventive doses of
1,000 units, is supplied free to the practitioners any time during the day or
night, either from the Town Hall, or (when this is closed) the former can be
had from our fire-stations. An injection-syringe for the doctors use lies at
each fire-station.
Enteric Fever. Five cases were notified as against 2, 6 and 5 in
1917-16-15. This is equal to an attack rate of 0.07 per thousand of the
population. There were 2 deaths, giving a rate of 0.03 per 1.000 of the
population. There were no cases notified from the Infirmary. There was one
secondary case. Four cases were notified which were not confirmed by further
observation.
Acute Anterior Poliomyelitis. No cases were notified.
CEREBROSPINAL FEVER.
The last case in 1917 was notified on 16th December. One notification
was received in 1918, on December 7th, from Great Ormond Street Hospital,
where the girl of 14 months died 15 days later. Six deaths of residents were
certified as due to meningitis, class 61; none of these were under a year old.
The one girl notified under the Cerebro-spinal Fever Order died and was certified
as "epidemic cerebro-spinal meningitis, 1 month.'' Of the remaining five—
not notified under cerebro-spinal fever or tuberculosis regulations—one meningitis
meningococcus, male, 8 years; one cerebral meningitis, male, 2 years;
one idiopathic meningitis, female, 17 years; one meningitis, male, 6 years,
and one septic meningitis, female, 50 years. In January our Joint Hospital
Board agreed that (pending further consideration) cases of this disease would
be admitted when room and staff were available.
ENFIELD AND EDMONTON JOINT ISOLATION
HOSPITAL.
This is situated on 27 acres of land in the Enfield district, on its Winchmore
Hill border. The contribution of Edmonton towards the Hospital for
the year ending 31st March, 1919, was £4,806 compared with £4,748 for the
previous year. The Superintendent's report for the year ending March, 1918,
reached me on August 9th, 1919.