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Scarlet Fever shows an increase of 231 causes over those of 1894. It was epidemic in
certain parts of the District in the first quarter of the year, as 295 cases were notified during
that quarter, as against 125 for the remainder of the year. This outbreak was, no doubt, due
to milk infection, and I shall again allude to it under the heading of Special Reports.
124 cases were admitted into the Council's Isolation Hospital, which for some time during the
epidemic was quite full, and a few cases had in consequence to be refused admission, and some
were taken into the London Fever Hospital, Liverpool Road, (Is will be seen by the table,
Finsbury Park, Stroud Green, South Haringey and Hornsey Wards were the ones most affected.
Typhoid Fever. -6 more cases were notified when compared with 1894.
Five were admitted into the Isolation Hospital, and 4 into other hospitals.
Diphtheria has been less prevalent during the year, 89 cases comparing with 117 for 1894.
Eight cases were admitted into the Isolation Hospital, and several into other hospitals.
Small Pox.—5 cases were notified—1 in the Higligate and 4 in the Stroud Green Wards.
They were all of the modified typo, and were treated at home. As regards the Stroud Green
cases, all of which occurred in one house, I wrote out an order for admission to tlie Small-pox
Hospital, but the father said that, unless his children could be taken into our own Isolation
Hospital, he would prefer to have them kept at home. He consequently went into lodgings, and
the children were isolated and a special nurse obtained.
I informed the Vaccination Officer as to both of these outbreaks, with a view to getting
those in proximity to the patients vaccinated as soon as possible. I also saw the medical
gentlemen in attendance on the cases, and with them visited the patients, and consulted as to
isolation, &c.
Isolation Hospital.—139 cases have been treated during tlie year 1895, comparing with
125 for 1894. 8 cases were in the Hospital at the beginning of the year, and 7 were under
treatment at its close. 125 cases were admitted for Scarlet Fever. One of these, however,
proved to be Measles, and the earliest opportunity was taken to send the patient home. 8 were
cases of Diphtheria, and 6 were admitted as suffering from Typhoid Fever. One of these,
however, proved not to be so, and the patient was, on admission, found to be so dangerously ill
that it was considered hazardous to send her home. I may here state that after a few days she
died, and the post-mortem examination cleared up any doubt as to whether she had suffered from
Typhoid Fever or not, the unanimous opinion of the five medical gentlemen present at the
autopsy being that the deceased had not been suffering from that disease.
Of the other deaths 2 were from Diphtheria—female aged 35 years, and female aged 3
years. In tlie latter case the disease spread down tlie larynx. 1 death was from Typhoid
Fever—female aged 35 years. This patient was very ill on admission, and ultimately died from
Pneumonia.
The other fatal case, male aged 3 years, was from Scarlet Fever, complicated with Epileptic
Fits and Strumous Abscesses, the patient having only three days before admission been
discharged from a London Hospital. The remainder of the cases left the Hospital well.