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62
the Local Government Board should be asked for their approval to
an Order making Leprosy notifiable in this Borough. Also the
London County Council were approached with a view to making
this disease notifiable throughout the County of London. A communication
has been received from the Clerk to the London County
Council stating that that Council has not sufficient evidence to
warrant the inclusion of Leprosy in the list of notifiable diseases.
They had, however, also brought the matter to the notice of the
Local Government Board. Several of the Metropolitan Boroughs,
also were in favour of the inclusion of this disease amongst the
notifiable class, but up to the present, we have not heard definitely
one way or the other from the Local Government Board on the
subject. It certainly appears to me that the present time, when we
are not aware of any case of this disease in the district, is a suitable
one to press forward this question, in order to have the disease
made notifiable, so that whenever a case does occur we should not
have such difficulty in the future as was experienced on this last
occasion.
Epidemic Cerf.bro-Spinal Meningitis or Cerebro-Spixai
Fever. No cases of this disease were notified during the year.
Acute Polio-Myelitis or Acute Polio-Encephalitis. This
disease was permanently added to the list of notifiable infectious,
diseases during last year on an order of the London County Council
approved by the Local Government Board. No case was notified
during 1913. There were 2 cases in 1912.
Ophthalmia Neonatorum. During the year 16 cases of this
disease have been notified, 3 being in East Greenwich, 7 in West
Greenwich, 4 in St. Nicholas, and 2 in Charlton, and have been
dealt with by the nurses at the patients' homes, or in some
cases as Out-patients at the Miller Hospital.
Isolation Shelter. During the year 173 children have been,
bathed and their clothes disinfected and hair attended to on 400
occasions, one of these children receiving this attention six
times, 8 five times, 14 four times, 51 three times, 52 twice, and