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likely to be missed, and consequently the amount of infection
brought under control was only a small part of the total amount
which existed at any moment. The result was that those
susceptible ran more chances of becoming infected.
Typhoid Fever (including Paratyphoid).—Eleven cases were
notified in 1922, as compared with 19 in 1921. One case was afterwards
reported as not having suffered from this disease. All the
cases occurred in separate houses. Enquiries failed to elicit the
source of infection in any case. The number of deaths among the
cases notified was four.
Puerperal Fever.
During the year 1922 10 cases were notified, and the deaths
numbered 7. Of the 10 cases notified 7 were treated in institutions
and 3 nursed at home. Each case was the subject of an inquiry
as to the source of infection, and the necessary disinfection carried
out.
Preventive measures for combatting this disease can only be
effected by those who are brought into relation with cases of pregnancy
fully realising their responsibility, not only at the time of
labour and the lying-in period, but also the need of supervision
during pregnancy to prevent any chance of bacterial invasion of
the genital tract.
Pneumonia.
During the year there were 132 cases of acute primary pneumonia
notified, and 165 of influenzal pneumonia.
The number of deaths attributed to all forms of pneumonia
were as follows:—Broncho-pneumonia, 277; pneumonia (type not
stated), 50; acute influenzal, 67. and acute primary, 40.
Nursing assistance was provided in all cases where the necessity
arose.
Cerebrospinal Meningitis.—Two cases of this disease were
notified, as against 3 in the previous year. One case was removed
to hospital. One death was registered. There was no connection
between the cases and no source of infection was discovered.
Year.
Cases Notified.
Fatal Cases.
Case Mortality per cent.
1919
6
4
66
1920
6
2
33
1921
4
3
75
1922
2
1
50
Poliomyelitis.—During 1922 three cases were notified, two of
these were admitted to the South-Eastern Hospital. No case was
fatal, and no permanent deformities resulted.
The necessity of following up cases of anterior poliomyelitis
cannot be too strongly expressed. Neglect on the part of parents
to provide the special care and treatment necessary gives rise to