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There had been 110 typhus fever in the Borough since a case which
occurred eleven years previously in 1896. I examined the patient with
the doctor in attendance, and the diagnosis was afterwards confirmed at the
South Western Hospital, to which the patient was removed. The illness
began with vomiting after cleansing a foul w.c.
A case had been notified in Stepney about three weeks previously, and in
Islington about ten weeks previously, but although careful inquiries were
made, I could not ascertain any connection with either of these cases.
The patient lived with another woman, and there was no overcrowding as
it was a large room; although it had two windows, it was rather badly lighted
on account of close proximity to an opposite wall.
CEREBRO-SPINAL FEVER.
Epidemic Cerebro-Spinal Meningitis.
The London County Council made an order, approved by the Local
Government Board, that the above disease should be notifiable in London for
six months from and including the 12th March, 1907, afterwards extended for
a further period of eighteen months from and including the 13th September,
1907.
Two cases were notified during the year. The first patient was an infant
six months old, who had died before the notification wTas received. No
bacteriological examination was made, and there was no post mortem
examination. The second case was a child fourteen months old, who was
removed to the Hospital for Sick Children, Great Ormond Street. I sawT the
patient at the Hospital. The patient was then improving and afterwards
recovered. I made very careful inquiries, but could not ascertain any source
of infection in either case. In the latter case the patient lived in a tenement
of the Bourne Estate Houses for the Working Classes.
MEASLES.
Measles was not so prevalent in the Borough as in the preceding year.
We received information of only 144 cases in comparison with 370 in 1906.
It was principally prevalent in the Borough during the months of February
to June inclusive, and'October and November, and most cases died in the
months of May and November.
The schools principally affected were Princeton Street, St. Mary, Charing
Cross Boad, Bosebery Avenue, St. John-tlie-Evangelist and St. Giles-in-theFields.
Of the 144 cases reported on by the Lady Sanitary Inspector, 126
were attending school. Of the remaining 18, at least 10 cases were traced
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