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averted an epidemic in each of the four cases above noticed; but
without early information such as the notification clauses of the
Public Health (London) Act, 1891, are designed to afford, the most
energetic sanitary precautions are likely to be futile.
Two of the patients were vaccinated, one was unvaccinated, and
in the other case no information could be obtained. One of the
families in which small pox occurred occupied one room only. The
premises were in each instance in a more or less insanitary condition.
SCARLET FEVER.
(Twelve deaths. Decennial average, 32.)
The number of cases notified during the year was 369, the deaths
numbered 12—a rate on the notifications of 3.25 per cent. The
scarlet fever death rate is equal to 0.09 per thousand population at
all ages, whilst that of London is o.o8.
In the North sub-district 134 cases were reported, in the South
139, and in the East 96. Amongst these last were 13 cases at the
Children's Home in Bonner Road.
The Inspectors' reports on the sanitary condition of the residences
give the following particulars:—In 152 instances the premises were
in a fairly good condition; in 63 the closets were out of order; in
4 the drains inside the house were leaky ; and in 7 the external
drains were defective. In two instances the premises were overcrowded,
and minor insanitary conditions were noted in 96. Twentyfour
of the cases occurred amongst families inhabiting one room
only; 229 cases were removed to hospital.
ENTERIC FEVER.
(Eighteen deaths. Decennial average, 23.)
The total number of cases reported during the year was 153,
with 18 deaths :—
55 from the North sub-district.
50 from the South ,,
48 from the East „