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Provided that a Medical Practitioner shall not be required
to notify a case of Measles or German Measles under this Article,
and shall not be paid a fee for so doing—
(a) if he has reasonable grounds for supposing that the case
has already been notified under these Regulations ;
(b) if a case of the disease which he is attending, whether
Measles or German Measles, has to his knowledge
occurred in the same household or institution, and been
notified within the period of two months immediately
preceding the date on which he first becomes aware of
the disease in the case he is attending; or
(c) if the case is being treated in a hospital for infectious dis-
eases.
From 1st July to the end of the year, only 36 cases of the
Disease were notified, giving rise to one death only.
Zymotic Enteritis or Summer Diarrhcea. One hundred
and forty-one cases of Diarrhcea were notified throughout the whole
of the Borough, 77 being under one year of age; 64 between one
and five. Fifty of such notifications related to patients in East
Greenwich, 55 in West Greenwich, 17 in St. Nicholas and 19 in
Charlton.
There were 22 deaths ascribed to this disease, comparing with
28 in the previous year.
Whooping Cough. Three hundred and sixty-five cases were
notified (compared with 141 in 1919), 73 being under one year of age,
170 from one to five, 118 from five to fifteen and 4 from 25 to 45, the
districts concerned being East Greenwich, 237; West Greenwich,
91; St. Nicholas, 3, and Charlton, 34. Each of these cases was
visited, and leaflets and instructions left, together with verbal
advice respecting the isolation and care of the patient.
Epidemic Cerebro-Spinal Meningitis, Cerebro-Spinal
Fever, or Post-Basal Meningitis. There were 2 cases of these
diseases notified during the year, 1 in East Greenwich and 1 in
Charlton.
Acute Polio-Myelitis or Acute Polio-Encephalitis. This
disease was permanently added to the list of notifiable infectious
diseases during 1914, on an order of the London County Council,
approved by the Local Government Board. No cases were notified
during 1920. There was 1 case in 1919, 2 in 1918 and 0 in 1917.
Ophthalmia Neonatorum. During the year 28 cases of this
disease have been notified, 11 being in East Greenwich, 8 in West
Greenwich, 1 in St. Nicholas and 8 in Charlton.
Contacts. Twenty-four intimations were received from the
Medical Officers of Health of the various Port Sanitary Authorities