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"We have only to add that we still hold to the opinion that
in the anti-toxic serum we possess a remedy of distinctly—we
would not say much- -greater value in the treatment of Diphtheria
than any other with which we are acquainted."
The Managers of the Metropolitan Asylums Board state in
their Annual Report, 1897, that the same improvement has
occurred in the Diphtheria cases treated by anti-toxin.
Whooping Cough. Reference to Table No. 3 will show
that 45 children died from this disease in the district, being an
increase of 26 over 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.
Diarrhoea. There were 85 deaths from this disease
(including Infantile Diarrhoea) being an increase of three over
last year, and higher than in any of the last ten years.
The 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 number of deaths from this
disease the Zymotic Death Rate of Greenwich would have been
1.9 per 1,000.
Small Pox. Not a single case of Small Pox was reported
to me during 1898.
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