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Disinfection of Books.—The arrangements indicated in the
Report for 1930 regarding the disinfection of books issued through
the Middlesex County Council libraries in the district remain
unaltered. During the year, 327 books were so disinfected.
The school and other books found in homes where cases of
notifiable or non-notifiable infectious diseases have occurred are
disinfected, together with individual school books from classrooms
from which a case of infectious disease has been notified.
ISOLATION HOSPITAL.
The number of patients treated in hospital during 1938 was
562, as against 505 during 1937 and 565 in 1936. (This number
comprises all patients admitted during the year, together with those
in hospital on 1st January, 1938.)
It will be seen that the number of admissions shows a slight
increase, in spite of the fall in the scarlet fever case rate. The
number of diphtheria patients admitted was again high, being
actually 63 in excess of the scarlet fever admissions. The type of
disease treated was definitely severe so far as diphtheria was concerned,
but somewhat milder in the case of the remaining infections.

The diseases for which the 506 patients were admitted during
1938 were as follows:
Scarlet fever 120
Diphtheria 183—Faucial 154
Nasal 10
Nasal and
faucial 12
Laryngeal 5
Laryngeal
and
faucial 2
Diphtheria ' 'carrier'' 22
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