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epigastric region, enlargement of the liver and tenderness
over the liver. The urine was bile-stained and
the stools pale. Invalidity continued for two to three
weeks. The incubation period appeared to be from
seven to ten days.
The isolation of cases at home and the exclusion ol
suspected cases of sickness from schools limited the
spread of infection.
Influenza.—No major epidemic occurred during the
year. Six deaths were recorded, mainly in elderly
people.
Non-Notifiable Diseases.—School teachers also
reported 176 cases of Chicken-pox, 34 of Whooping
Cough, 543 of Measles, 16 of German Measles and
238 of Mumps. School notifications formed the
basis of frequent consultations with the School
Medical Officer. There was one death from Measles
due to pulmonary complications. An arrangement
has been made for the preparation of serum from
the blood of healthy parents of individual children
for the prevention or attenuation of measles on
request by medical practitioners. Two such
requests were received, and attenuated attacks
resulted.
Notification of Pneumonia.—Of the 37 deaths
occurring from all forms of pneumonia, seven were
notified previous to death. The total number of
notified cases arising in the district was 29.
TUBERCULOSIS.
On 31st December, 1938, there were on the
Register 419 cases of Tuberculosis, of which 332
were pulmonary and 87 non-pulmonary cases. The
death rate for Pulmonary Tuberculosis was 049
per 1,000 of population, and for Non-pulmonary
59