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165
In the remaining cases, wherever any evidence could
be obtained, it was found to have been contracted
from outside the district.
In every case the patients were removed to hospital,
and immediate steps taken to prevent the spread of
the disease.
The whole of the Sanitary Staff were, together with
their families, successfully vaccinated before exposing
themselves to infection, and happily escaped the disease.
Measles. Except in the year 1888, never during the
last decade has the number of deaths from Measles
been so low. There were but two deaths due to this
disease during the year.
Scarlet Fever. Here as in the rest of London, the epidemic of
Scarlet Fever which began in 1892 increased in intensity
during the year. The disease was however of a very
mild type, and the mortality resulting therefrom was
exceedingly low, only three deaths occurring in the 313
cases notified, two of which were at the homes of the
patients and one in the hospital of the Metropolitan
Asylums Board, being 0.51 per cent, of the total deaths
or 0.6 per cent, of the total number of cases notified.
The present system of notification and isolation has
I believe much to do with this slight mortality. In
other days mild epidemics of Scarlet Fever were often
followed by a large mortality from the sequelae of the
disease, which is now greatly obviated by the care and
precaution resulting from enforced isolation.
This epidemic has cast a large amount of extra work
upon the Sanitary Department.