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1915, 1,607; and (b) from other sources as follow:—1913, 612;
1914, 581; and 1915, 507. The total 2.114 cases notified during
1915 occurred in 1548 infected houses, and of these 2,114 cases 49
died.
The arrangements for the isolation in hospital of cases of whooping
cough (and the same applies to measles and German measles)
are unsatisfactory. The Metropolitan Asylums Board under their
special orders only admit the cases to their hospitals when there is
room, and the same applies to the Poor Law Institutions.
Typhoid Fever.
During 1915 the incidence of typhoid or enteric in the Borough
was small—32 cases notified and 9 deaths registered; 6 of the cases
were traced to sources outside the Borough, 9 proved not to be suffering
from the disease, and 4 were secondary, i.e., derived from previous
cases (notified or unnotified). No case could be traced definitely
and conclusively to infected ice creams, water, milk, fried or
shell fish or watercress, though in four instances there was a history
of oysters having been consumed by the patients two or three weeks
prior to their attacks. In connection with the alleged danger from
shell fish, it may be mentioned that the Local Government Board
has issued an Order, in pursuance of the Public Health (Regulations
as to Food) Act, 1907, known as the Public Health (Shell Fish)
Regulations, 1915, which came into force on March 1st, 1915. These
regulations prohibit the sale of shell fish likely to cause danger to
the public health.
Tuberculosis.
Details of the work carried out during 1915 at the Dispensaries
connected with the Lambeth Municipal Tuberculosis Dispensaries
Scheme are to be found in the Appendix.
The distribution of tuberculosis, as a disease, throughout
the Borough, during 1915, can be gauged from the official notifications
that have been received under the Public Health
(Tuberculosis) Regulations, 1912, which came into force on
February 1st, 1913, making tuberculosis (both pulmonary and
other forms) compulsorily notifiable, all previous Regulations*
being then revoked. All these sources of notifications received
during 1915 are set out in Table H specially prepared for the
Local Government Board and Tables H (I) and H (II) dealing
with (a) Wards, and (b) Registration Sub-Districts.
In each case notified, from whatever source, a visit is paid
(unless the notifying medical man is of opinion that such an official
visit is unnecessary), leaflets are distributed, instructions are given