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were taken as appeared necessary for the prevention of the spread of infection.
Disinfection was carried out by the sanitary authority in connection
with 102 premises, including 107 rooms.
CEREBROSPINAL FEVER.
Two cases were certified. The deaths certified as due to this disease
numbered three. In one of these the cause of death was not ascertained until
after a post mortem examination. There were 16 deaths attributed to
meningitis, 13 of which were of children under five years of age. Enquiries
were made as to whether there were grounds for believing the meningitis to
have resulted from the presence of the meningococcus but so far as could be
ascertained there appeared to have been no reason for believing such to have
been the case.
The cases of cerebro-spinal fever certified in the Metropolis numbered 111,
and 13 deaths were attributed to this disease.
GLANDERS, ANTHRAX AND HYDROPHOBIA.
Adopting a suggestion in a letter from the Local Government Board dated
December 2, 1908, in which it was intimated that if the Borough Council should
wish to extend, pursuant to Section 56 (i) of the Public Health (London) Act,
1891, the provisions of Section 55 of that Act with respect to the notification of
infectious disease to glanders, anthrax and hydrophobia, the Board would be
prepared to favourably entertain an application to add these diseases to the
list of those notifiable, the Borough Council resolved to make them so in
Shoreditch. The usual steps were taken, and application in. due course was
made to the Board for that purpose. The proposed order as to the notification
of these diseases in Shoreditch which was submitted to the Board for their
approval was, however, deferred pending the consideration of the London
County Council as to taking steps to make them notifiable throughout the
Metropolis. The necessary steps having been taken by the London County
Council, the diseases became notifiable throughout London on April 26th. No
cases were notified in Shoreditch during the year. With respect to glanders,
16 notices were received from the veterinary inspector of the London County
Council relative to glanders in horses existing on premises in the Borough. The
usual enquiries were made by the officers of the Borough Council, but no
evidence was obtained as to the spread of infection to human beings.
CHOLERA.
There were several outbreaks of cholera reported in Russia, Holland and
elsewhere on the Continent, during the year. Intimations, in accordance with
the cholera regulations, were received from the Port of London and the Port
of Harwich Sanitary Authorities as to nine persons from Rotterdam, one from