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47
now-a-days termed "sappræmia," which many would say
was not puerperal fever, and should not be notified.
Scarlet Fever and Diphtheria.—It will be more
convenient for the present purpose to take these diseases
together.
The incidence of these diseases was specially heavy on
certain well defined areas of the Parish, namely the St.
Peter's Park Estate, the streets around Hall Place, the area
lying between the Grand Junction Canal and Westbourne
Terrace North, bounded on the east by Ranelagh Road, and
on the west by the railway, and the streets lying between
the Harrow Road and the Canal Basin. In the absence of
any information as to the population of these areas, it is
impossible to state the respective rates, It must suffice to
say that the "spot maps" for the year show this incidence
very markedly.
The houses included in these areas are for the most part
occupied by two or more families, some of the tenements
containing but one room. In several of the streets the
houses are erected on "made ground," and, where examined,
they have been found to be without any concrete under the
floors. The excess of these diseases in these areas is confirmatory
of the information afforded by the inquiries as to
the housing of families having cases of infectious disease.
(See page 29.)
The inquiries made in respect of every case of these
diseases did not disclose any special spread of infection by
the schools or milk supplies.
It may be well to indicate here certain particulars
in which reforms appear desirable.
On the occurrence of any of the diseases included
in the schedule for notification (except erysipelas) all
schools receiving children from the infected houses
are informed of the occurrence of the case. They
are subsequently informed of the disinfection. It