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1919] 32

Small Pox.—The 2 cases notified in the Borough during the year were
children aged 7 and 9 years, neither of whom had been vaccinated. The
average number of cases during the preceding ten years was only 1.
Scarlet Fever—1,084 cases were notified, and they showed an increase
of 116 or 12 per cent, on the average (968) of the ten years 1909-18. The
attack-rate was equal to 3.29 per 1,000 of the civil population annually, which
is an increase of 0.24 per 1,000 on the mean rate (3.05) of the preceding ten
years.
Diphtheria and Membranous Croup were responsible for 649 cases
of illness, and were 99 above the average (5500 of the preceding ten years.
The attack-rate was equal to 1.97 per 1,000 of the civil population annually,
and was 0.24 above the mean rate (1.73) of the decennial period.
In London the attack-rate was 2.14 per 1,000, and in the Encircling
Boroughs 2.16.
Enteric Fever was only notified in 16 instances which is 38 below the
average (54) that obtained during the ten years 1909-18. The attack-rate was
0.05 per 1,000 annually, or 0.12 per 1,000 below the mean rate (0.17) of the
last ten years.
In London the rate was 0.08 and in the Encircling Boroughs 0.07 per
1,000 of the civil population.
Typhus Fever.—Nil return. The disease, which is mainly one of
overcrowding, combined with poverty and malnutrition, seems to have died
out in Islington.
Continued Fever.—Only one case was notified.
Erysipelas.—212 cases were notified, or only 1 below the average (213)
ot the preceding ten years, the attack-rate being 0.64 per 1,000 of the civil
population, as compared with 0.64 in London and 0.61 in the Encircling
Boroughs.