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situated, and within easy distance from London, the sooner therefore a proper
system of drainage is carried out, the better it will be for the welfare of the
neighbourhood; all present drains and cesspits should be abolished, together with
dirty ditches and stagnant pools.
Harefied.—As usual this parish has the lowest death rate of all the large
parishes, being only 11'2, which is due in my opinion to its elevated position, gravel
soil, and systematic flushing of the sewer.
In April and May three cases of Scarlatina were notified. I wrote to the Vicar
advising, that no child should be admitted to the schools from any infected cottage,
and at the same time an Epidemic of Measles arose with regard to which I gave the
same advice. No more cases of Scarlatina occurred, but I cannot say whether it
was the same with regard to Measles, as it is not a notifiable disease. With these
exceptions this parish has been in a healthy condition during the year.
Ickenham.—In this small parish four cases of Diphtheria were notified, and one
of Enteric Fever. In February the case of Typhoid occurred in a travelling caravan
ard might have arisen in another district, or from drinking foul water near where
the van was located. In October a child of the master of the school developed
Diphtheria, and was at once sent to the Isolation Hospital, the school was closed
for a week and no other case occurred. In December however three other cases
were notified: these were at once removed to the Hospital and no further case
Occurred.

There were 34 deaths, one being from Scarlatina and the remainder from
Diphtheria: of these 14 belonged to the Uxbridge Urban District, 15 to Southall
Norwood and 5 to our own district.