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One occurred in the first age period (under one year), five in the second
age (one and under two years), and one between five and fifteen years of age.
There was none in the Infirmary.
I received notifications about 477 cases—448 being defined as English and
29 as Rubella (formerly "German measles"). Of these, 448 English and 28
Rubella were among residents; one Rubella was notified amongst strangers at
the Infirmary. The attack-rate was therefore 6.4 for every 1.000 inhabitants.
Fifteen were doubly notified by doctor and parent.
For incidence on the various age periods, see Table II. at end of this
Report. There were also three military cases; one of these was Rubella.
January, 4 weeks, 10 cases in nine houses, seven in Lower Edmonton.
February, 4 weeks, 13 cases in 10 houses, 11 in Lower Edmonton.
March, 5 weeks, 53 cases in 43 houses. This number, however, compared
favourably with 93 cases in 72 houses for the same period in 1917. The type
of the disease was mild and mostly in Lower Edmonton. I only received
six notices from the schools during these five weeks. In March I received from
the Local Government Board a pamphlet of 86 pages on the subject dated
December, 1917.
April, 4 weeks, 69 cases in 48 houses. This was better than 165 cases in
120 houses last year. The disease was now moving southwards, and Raynham
Road and Montagu Road Schools appeared to be mostly affected, judging from
the returns received from the head teachers and attendance officers. A mother
was cautioned by the Public Health Committee about non-notification.
On my advice my Council on April 23rd directed the attention of all Urban
District Councils in Middlesex to the action of the Leicestershire County
Council in attaching to all licences of picture palaces a condition giving that
Authority power to exclude children of school age or under. These Urban
District Councils were asked to join Edmonton in urging Middlesex Council
to do the same.
May, 4 weeks, 45 cases in 38 houses. The disease mostly appeared to
be in Bush Hill Park and Upper Edmonton.
June, 5 weeks, 127 cases in 99 houses.
July, 4 weeks, 113 cases in 90 houses.
August, 4 weeks, 33 cases in 26 houses.
September, 4 weeks, 3 cases in 3 houses.
I did not take steps to close any schools during the year, as, under the
circumstances, no great advantage presented itself.