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18
and the more so because although the population of Bow was in
1891 but as 1 in 104 of the population of all London, yet the local
cases of diphtheria notified to me were as 1 in 27 of the number for
all London.
My object is now to lay before you facts explanatory of this condition,
and for this purpose I have carefully analysed the weekly
returns of notifications for all London as sent to Metropolitan
Medical Officers of Health, and have prepared a special table
(No 2) showing not only, the totals in London and Bow but allotting
the cases to their different periods of life, i.e. 5 years and under, 6
to 15 years, and over 16.
Column 5 of this table gives the total number of notifications in
the year from Bow, and we do not find a very high percentage until
we reach the week ending February 18th, when the cases amounted
to 1 in 17 of the whole number, followed by 1 in 7 in the week ending
February 25th.
Referring to my report for the month ending February 25th, an
extract from which I have given, we find that at the commencement
of the outbreak I was able to connect it with a school in the district;
thanks to the notification system and the enquiries which the Sanitary
Inspectors in my district are required to make in all cases of infectious
disease, a copy of which enquiry form is here inserted :—
Date
Address
Name and age of Patient in full
Nature of Disease from which Patient is suffering
Name of Medical Practitioner notifying
Result of Drain test
Defects
Water supply
Condition of W.C
Schools attended by Children
Milk supply from
If removed to Hospital