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30
PUERPERAL FEVER.
One resident was notified and 1 Hornsey woman at the Infirmary.
There were no deaths. Our death-rate is therefore nil; it was 0.75 last year.
During 1917 there were 241 midwives practising privately in Middlesex
and 492 not practising; besides, there were 14 engaged in poor-law infirmaries,
who are exempt from the provisions of the Act. In Edmonton there were 13
practising at the beginning of 1917 and 12 at the end of that year.
One midwife, reported to the Central Midwives Branch in 1916, was struck
off the roll in 1917, and seven were cautioned verbally. During that year no
uncertified women were prosecuted by the County Council for acting as midwives,
but seven were verbally cautioned by the Inspector of Midwives, Miss Pollard.
OPHTHALMIA NEONATORUM.
There were seven cases, all residents, notified during 1918 by nine notifications.
None were notified to me from the Edmonton Infirmary. Of the
seven, four were in Bury Street, one in Fore Street, and two in Church Street
Ward.
Two cases were doubly notified by two doctors. Of the single notifications,
all were from doctors and none from midwives.
Miss Shiner paid 45 visits in connection with these cases; last year she
paid 144 visits to 20 cases.
ERYSIPELAS.
Thirty-four cases were notified, compared with the same number in the
previous year; none occurring in the Edmonton Union Infirmary. There
were three deaths from this cause. No cases were doubly notified.
Nine cases occurred amongst people who were living in our district outside
the Union Infirmary, and yet unable to provide proper attention for themselves.
Under agreement with the Guardians, my Council received remuneration for
the nurses and dressings provided for those unfortunate persons.
The cases were most numerous in the last quarter of 1918.
PHTHISIS AND OTHER TUBERCULOUS DISEASES.
The deaths from phthisis numbered 69, as compared with 86, 69, and 73
during 1917-16-15. The death-rate from the disease is therefore 0.93 per
thousand, compared with 1.18 last year. Of these deaths, six occurred among
residents of the district in the Edmonton Workhouse. The total deaths from
phthisis in the Edmonton Workhouse numbered 34.