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21
Welfare Committee with the Borough of Fulham
District Nursing Association, which is affiliated to
Queen Victoria's Jubilee Institute. The work carried
out by these district nurses is most valuable, and the
Borough Council were fortunate in being able to come
to satisfactory arrangements with the association. The
fee for each visit paid by the district nurses, and chargeable
to the Borough Council, is one shilling. During
1922 these fees amounted to the sum of £68 14s.,
payable by the Public Health Committee, and £80 14s.
payable by the Maternity and Child Welfare Committee.
In the latter case one-half of this amount is
recoverable from the Ministry of Health by way of
grant.
Infectious Diseases.
The total number of cases of infectious diseases
notified during the year was 4,388, compared with
2,834 for the year 1921. Towards this total of 4,388,
measles contributed 2,438 cases, as compared with
369 during 1921. It will be seen, therefore, that the
epidemic of measles accounted for practically the whole
of the difference in the number of notifications between
the two years. Full particulars of these notifications
arranged according to disease, ward and age, will be
found in Table IV, page 28.
Scarlet fever was less prevalent than in the previous
year, 626 cases compared with 921, while diphtheria
was reduced in numbers by approximately one-fifth,
there being 438 cases compared with 579 in 1921.
There were three outbreaks of infectious disease
during the year which require special note.
(1) Measles.—This disease was epidemic in the
borough during February, March and April. In one
week in March no fewer than 158 cases were notified,
while the average notifications during the latter part
of March and early April were approximately 130 per
week. The outbreak was fairly well distributed throughout
the borough, with the exception that Munster Ward