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decrease of 28 under last year. Whooping Cough is a disease
peculiar to young children, and it is difficult to suggest any
particular Sanitary measures which, in the absence of isolation,
would tend to lessen its spread.
Diarrhœa. There were 82 deaths from this disease
(including Infantile Diarrhoea), being an increase of 44 over last
year, and higher than in any of the last ten years.
This disease is particularly fatal amongst young children during
the months of July, August, and September, and more especially
during the period of Teething. It is accelerated by the administration
of improper food.
Had it not been for the large increase in the number of
deaths from this disease the Zymotic Death Rate of Greenwich
would have been 1 per 1,000.
Small Pox. One case only of Small Pox was reported to
me during 1897, and that occurred in the Metropolitan Asylums
Board's Hospital.
In case of Small Pox occurring I notify every case to the
Board of Guardians through their Vaccination Officer.
The necessary Sanitary precautions are observed in every
case by Inspection, Disinfection, Destruction of Bed, Bedding
&c., and the serving of Notices to abate Nuisances.
Under the Public Health (London) Act, 1891, the following
diseases are scheduled :—
Scarlet Fever, Diphtheria, Membranous Croup, Small Pox,
Cholera, Erysipelas; and Puerperal, Typhus, Enteric, and
Relapsing Fevers.