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73. Notification of this disease is compulsory on Medical
men. under the Public Health (London) Act, and on Midwives under
a Local Government Board Order. Midwives are paid 1/- for each
case notified,
23 case's were notified compared with 18, 19, 33 and
41, in the four preceding years. The case-rate was 9.0 per
1,000 births compared with 15.2 in 1917. Four cases were
removed to hospital and 5 were treated as hospital out-patients.
The others were all reported to be reviving effectual treatment
at home. The district nurses attended. It is doubtful whether
the increase of notifications in the past three years represents
an increased prevalence of the disease or only greater vigilance
and notification of milder capes. Severe cases are exceptional.
PART II.
ADMINISTRATI0N.
WATER SUPPLY.
1. No house was reported to have an insufficient water
supply as regards provision of pipes and taps.
2, Defective and foul storage cisterns were found and
remedied at nine houses, compared with 40, 44, and 49, in the
three preceding years. At 38 houses the supply was found insufficient
or temporarily cut off, and the necessary steps taken
for obtaining a proper service.
FOOD AND DRUGS.
3. 399 samples were submitted to the Public Analyst, and
13 or 3.2 per cent were found to be adulterated, compared with 5.6,
7.3, 7.9, 9.4, and 7.2, in the five preceding years.
246 of the samples taken were informal — 4 of these
were found to be adulterated.
4. Proceedings were taken in 9 cases, fines were inflicted
in 6 cases, and in 3 there was proof of warranty.
5. £73 was imposed in fines and over £11 in costs.
Though these fines are greater than those imposed in former
years they are not enough to deter the dishonest tradesman.
the such was convicted a second time in the year of repeating
the same offence of adding water.
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