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28, To prevent the spread of measles In school, the Medical
Offioer of,the London County Oounc.il continued to close, or exclude
unprotected children from classes on the occurrence of one
or more cases; The period of exclusion or closure was usually
for a few days only, in some cases for two weeks.
28a, Notification, By Order of the Local Government Board
made under S. 130. P.H.A,, 1875, Measles and German Measles were
made compulsorily notifiable from January 1st, 1916, (See Council's
Minutes, December 22nd, page 93).
800 oases of Measles were notified compared with 1,710
in 1917, Of these 452 were under five years of age, 316 between
five and fifteen, and 32 over 15, The largest number of notifications
was in Woolwich Parish, viz., 592.
In addition* 113 oases of German Measles were notified.
The cost of notification was £21. 13. 0.
The case mortality was 2.6, In Woolwich parish it was
4.0, In Plumstead 1.9 and in Eltham 0.8,
The Health Visitors visited all notified cases , gave
advice as to isolation, cleanliness, ventilation, etc., and
where it seemed desirable, and the friends approved, the District
Nurse was requested to attend,
100 cases were nursed compared with 139 in 1917.
These visits were paid for by the Borough Council, according to
the arrangements made in 1916, at a cost of £35. 5. 2.
12 oases were admitted to a Fever Hospital on the
special recommendation of the Medical Officer of Health,
WHOOPING COUGH.
29, There were 29 deaths from Whooping Cough, The deathrate
was 0.20, compared with 0.03, 0.25, and 0.07, in the three
preceding years, and 0.43 in the County of London, 23 of the
children who died were under two years of age.
The following table gives the deaths and death-rates
per 1,000. population since the Borough was formed, compared
with London.
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