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The notifications received from medical practitioners have been
as follow : 1913, 1,428 ; 1914, 1,389 ; 1915, 1,607 ; and 1916, 1,576.
No whooping cough cases have been notified under the Order by
private persons (not medical practitioners), but, through the medium
of schools, in connection with absentees, the following numbers of
cases have been voluntarily reported :—1913, 612 ; 1914, 581 ;
1915, 507 ; and 1916, 445.
The 1,576 notifications received from medical practitioners
during 1916 referred to 1,149 infected houses, and of these 1,576
cases 95 were removed to hospital, 45 deaths were registered from
whooping cough during 1916, giving a case-mortality of 2-9 per 100.
Every case of whooping cough notified is officially visited, and such
precautionary measures are taken in connection therewith as may
be required.
Measles and German Measles.
On January Ist, 1916, measles and German measles became
compulsorily notifiable under the Public Health (Measles and
German Measles) Order, 1915, and during the year (up to December
31st, 1916) a total of 3,760 notifications were received from
medical practitioners—2,548 measles (including 27 military cases)
and 1,212 German measles (including 20 military cases). The
diseases are, under the Order, notifiable also by parents (or relatives),
and 78 measles cases were in this way notified. In addition
594 cases of measles were reported voluntarily through schools, in
connection with absentees, during 1916, as compared with the following
numbers during the previous three years : 1913, 1,085 ; 1914,
1,531 ; and 1915, 1,880.
The 2,548 and 1,212 notifications of measles and German
measles received from medical practitioners during 1916 referred to
2,202 and 1,020 infected houses respectively, and of the 2,548
measles cases, 235 were removed to hospital ; 49 deaths were registered
from measles during 1916, giving a case-mortality of 1 - 9 per
100.
64 schools (infants' departments) were dealt with during the
year, representing 66 different class-rooms or grades, and a total of
818 children excluded for periods varying from a few days to a few
weeks on account of outbreaks of measles in connection therewith
(a total of 107 cases). 9 schools (78 class-rooms) were disinfected on
account of measles. The epidemic has been general throughout the
Borough. Every case of measles or German measles notified is
officially visited, and such precautionary measures are taken in
connection therewith as may be required, including the systematic
exclusion of non-protected children (i.e., children who have not