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Of the two cases removed to the Municipal Hospital, one occurring in a man of 50 years, was
diagnosed in hospital as Cephalgia and recovered. The other case, occurring in a woman of 23 years,
was diagnosed in hospital as Tubercular Meningitis and died. The case removed to Great Ormond
Street Homeopathic Hospital, a child of 5 years, proved fatal. The case removed to St. Mary's
Hospital, a man of 51, also died, the death being certified as Otitis Media.
Pneumonia, Malaria, Dysentery and Trench Fever became notifiable on March 1st, 1919.
Pneumonia.—One Hundred and seven cases were notified, the greatest number, 29, occurring
between the ages of 25 and 45, and 27 between the ages of 45 and 65.
The wards with the greatest number of notifications were South Kilburn and Mid-Kilburn,
with 20 and 23 respectively as against an average of 7 in the other wards.
The notifications were highest during the 4 weeks ended 24th January, 20th March, 17th
April and 15th May, 1920, being 13, 14, 24 and 15 respectively. With these exceptions, the notifications
did not rise above 9 in any of the 4 weekly periods.
Fourteen of the 107 cases notified were removed to the Municipal Hospital.
Of the 107 cases notified, 37 died.
Out of 101 of the notified cases in which information is available, 57 were nursed at home
and 44 were removed to hospitals—14 to the Municipal Hospital, 11 to other Hospitals and 19 to the
Willesden Infirmary.
Of the 57 nursed at home, 22 died, or 38.6 per cent.
Of the 44 removed to hospitals, 15 died, or 34.1 per cent., 4 deaths occurring in the Municipal
Hospital, 5 in other Hospitals, and 6 in the Willesden Infirmary.
Malaria.—Forty-one cases were notified. In 35 instances the original attack occurred whilst
the patient was abroad. In one instance the first attack occurred shortly after the patient had
returned from abroad. In two other instances the patients had been abroad during the war but
had not had Malaria. In one of these, there was a history of gnat bites two days previous to onset.
In three instances details could not be obtained. No deaths were recorded from Malaria.
Dysentery.—Four cases were notified, 2 occurring in children. In 1 instance the disease
was contracted abroad, in 1 no details were available. In the case of the children, 1 was removed
to the Municipal Hospital and proved not to be Dysentery. The other was removed to Paddington
Green Hospital and discharged well.
The only death from Dysentery recorded was not a notified case. The patient had been
suffering from Amcebic Dysentery for 5 years, and death occurred in a Hospital outside Willesden.
The annual report should state whether and to what extent bacteriological aids to diagnosis have
been utilised, action to discover "contacts," arrangements for isolation and disinfection, as well as any
action taken to deal with special difficulties, e.g., return cases, carrier cases, etc.
Vide Annual Health Report, 1919, pp. 38, 39 and 40.