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9
Twenty-five specimens were examined for the presence of the
diphtheria bacillus, at the expense of the District Council, with seven
positive results.
The District Council provide Diphtheria antitoxin for patients who
are unable to afford it, and 4 phials of 2,000 units each were issued.
Enteric Fever.—A boy, aged 4 years, was notified to be suffering
from Paratyphoid B. Fever in March.
A girl, aged 9 years, failed with Measles on May 24th ; a week
later she had symptoms which were thought to be due to Appendicitis,
but, on examination of the blood about June 10th, the paratyphoid A.
reaction was obtained; she died on June 30th.
A woman, aged 49 years, failed with Enteric Fever in November
and was removed on December 3rd to the Wandle Valley Isolation
Hospital, where she died on January 3rd, 1921.
Encephalitis Lethargica.—A fatal case was notified in December
; the patient was convalescent after an attack of Pneumonia five
weeks before the symptoms of the disease supervened.
Pneumonia.—Two cases of Influenzal Pneumonia, 1 case of
Primary Pneumonia, and 3 cases of Broncho-pneumonia were notified.
There were three deaths from Broncho-pneumonia, 1 death from
Influenzal Pneumonia, and 1 from Lobar Pneumonia in the District,
and a woman belonging to Carshalton died of Pneumonia in Epsom
Infirmary.
The Health Visitor visited the patients who were notified and
ascertained that they were receiving appropriate treatment; she also
gave advice in several cases in which she found that infants were
suffering from Broncho-pneumonia.
Malaria.—Three cases of recurrence of Malaria, which had been
contracted abroad, were notified.
Measles, Whooping Cough and Diarrhcea.—A large number of
cases of Measles and 3 cases of Whooping Cough were reported by
the School Teachers in April and May. The lists of cases were transmitted
to the Health Visitor, who paid 105 visits to cases of Measles
and 3 visits to cases of Whooping Cough ; very few of the children
suffered from complications, and there were no deaths from either
disease. I visited the Schools, two of which were'closed by my advice
on account of the prevalence of Measles.
There was no death from Diarrhcea or Enteritis.
Influenza.—There were 2 deaths from Influenza, in February
and March.
Tuberculosis.—Pulmonary Tuberculosis caused 9 deaths, representing
an annual death-rate of 0.7 per 1,000 of the population, which
is equal to the average rate for the preceding ten years. There was
one death from Tuberculosis of the Intestines; 3 of the 10 fatal cases
had not been notified to me, but 2 of these deaths occurred in
Institutions in other districts. A letter was sent to the medical
practitioners in the District requesting that cases of Tuberculosis
should be promptly notified.