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known of by me. Owing to the stringent instructions
of the Educational Department of the London County
Council most of the cases, as usual, occurring among
pupils at the schools of the London County Council
were reported to me. A strict system of disinfection
was carried out in accordance with the provisions of
the Public Health (London) Act, 1891, and very little
opposition was met with. The disinfection in the case
of measles has entailed a large amount of extra work on
the Public Health Department, and particularly so on
the Disinfectors.
From the whole of the notifiable infectious
diseases there were only 52 deaths, whereas from
measles alone there were 84 deaths. In each of the
cases that was reported the premises were at once
inspected as to the sanitary condition. I am still of
opinion that it would be a step in the right direction if
the disease was made “notifiable.”
SCARLET FEVER.
Three hundred and eighty cases were notified as
due to scarlet fever, against 383 in the previous year.
Three hundred and nine cases reported last year were
isolated at Isolation Hospitals, and 71 cases were treated
at the homes of the patients. Nine deaths were
registered. The mortality rate on the cases reported
was only 2.4 per cent.
DIPHTHERIA AND DIPHTHERITIC
MEMBRANOUS CROUP.
One hundred and eighty-eight cases were reported
as due to diphtheria or diphtheritic membranous croup,
against 199 cases in the previous year. One hundred
and sixty-seven cases reported last year were treated at
the Isolation Hospitals, and 21 at the homes of the
patients. Twenty-six deaths were registered. The
mortality rate on the cases reported was 13.8 per cent.