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35
accepted by the Asylums Board under exceptional
circumstances, and 55 were removed to Hospital on the
certificate of the District Medical Officers.
DIARRHCEA (including deaths under two
years of age from Enteritis).
Deaths 48 (Decennial average 111).
Thirty-six of the deaths from Diarrhceal disease
were amongst infants under one year of age, a mortality
at the rate of 9.2 per thousand births.
Two-thirds of these deaths were certified as from
Enteritis, and I have no doubt that most of them were
due to improper feeding. All these cases were visited
and reported upon by Miss Hammond.
MEASLES.
Deaths 90. (Decennial average 78).
Though still above the average, the mortality from
Measles has much diminished. All the deaths except
five were amongst young children aged less than five
years, a mortality of 5.2 per thousand children under
that age. 849 cases of Measles were notified to us
by Head Teachers of Elementary Schools; all were
visited. 193 were found without medical attendance
and 161 serious cases were removed to hospital where
25 died. The fatality of Measles is almost invariably
due to lung complication, and is undoubtedly aggravated
by faulty sanitation. Were every case of this disease
treated under proper conditions, the mortality would be
very slight. Warmth, good ventilation, proper bedding
and good nursing would ensure the recovery of nearly