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43
Smallpox.
It is satisfactory to be able to report that no case of this disease
has occurred during the year. One supposed case was removed, but
was afterwards returned certified to be not suffering from Smallpox.
Scarlet Fever.
159 cases were notified, as compared with 165 in 1903, and the
attack rate per 1000 of the population was 1.83.
Two deaths were recorded, equal to 1.2 per cent, of the cases
notified, or or 0.02 per 1000 of the population.
Of the cases notified, 120 or 75 per cent, were removed to hospital.
The houses in which cases occurred were inspected and the drains
examined.
Defective drains were found in 36 instances, defective soil pipes in
33 instances, defective water supplies in 38 instances, and general defects
in 48 instances.
Owing to a fairly large number of cases occurring, which were
traced to the Emmanuel Schools, Mill Lane, I communicated with the
Medical Officer of the Education Department of the London County
Council on the subject.
The whole School was closed in October for a period of three weeks,
when the outbreak ceased.
The Sunday School in connection with the Church was also closed
for the same period.