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48
Erysipelas.
Thirty-two cases of erysipelas were notified, the months
during which most cases occurred being April and November,
the incidence during the summer months being very light. The
age groups most commonly affected were 35 to 54, females being
affected slightly more than males. About half the cases were
treated at home. Of the hospital cases, three were admitted to
isolation hospitals, the remainder to general hospitals.
Small-pox.
No cases of small-pox were notified during the year, though a
number of contacts were reported to have moved into the district,
mostly from ships.
As the vaccination officer's districts do not coincide with the
areas of the local sanitary authorities, it would be very difficult
to obtain exact particulars of the position with regard to vaccination
in the district. The following figures, however, which relate
to the Harrow district and portions of adjoining areas, are a
guide :—
1. Number successfully vaccinated 1,155
2. Number insusceptible 27
3. Conscientious objectors 1,124
4. Number who died before vaccination 98
5. Vaccination postponed by medical
ficate 38
6. Infants removed 185
. 7. Number unaccounted for at present 123
The total number of certificates of successful primary
vaccination of children under 14 received during the year was
1,344, and the number of statutory declarations of conscientious
objection received was 1,349.
No vaccinations were performed during the year by the
Medical Officer of Health under the Public Health (Small-pox
Prevention) Regulations, 1917.
Other Infections.
Cerebro-spinal Meningitis.
In July a case of cerebro-spinal fever occurring in a girl of
twelve was notified and proved fatal.
Encephalitis Lethargica.
Three cases of encephalitis lethargica proved fatal during the
year, in none of which had the onset occurred in this year.