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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 42 deaths, whereas from
measles alone there were 67 deaths. In every
case that was reported the premises were at once
inspected as to the sanitary condition.
SCARLET FEVER.
Three hundred and forty cases were notified as
due to scarlet fever, against 380 in the previous year.
Two hundred and ninety-nine cases reported last year
were isolated at Isolation Hospitals, and 41 cases were
treated at the homes of the patients. Six deaths were
registered. The mortality rate on the cases reported
was only 18 per cent.
DIPHTHERIA AND DIPHTHERITIC
MEMBRANOUS CROUP.
One hundred and sixty-one cases were reported
as due to diphtheria or diphtheritic membranous croup,
against 188 cases in the previous year. One hundred
and forty-four cases reported last year were treated at
the Isolation Hospitals, and 17 at the homes of the
patients. Twenty-five deaths were registered. The
mortality rate on the cases reported was 15.5 per cent.
A communication was received from the Local
Government Board, dated August 15th, with the order