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cured. In four instances treatment was given at the London County
Council St. Margaret's Hospital, and in the five remaining cases
the infants were nursed, under the direction of a doctor, or by the
District Nursing Associations.
Pneumonia.
Cases of acute primary and acute influenzal pneumonia require
to be notified.
The number of notifications received during the year was
348 as follows: —Acute primary, 184 ; and the acute influenzal
form of pneumonia, 164.
These latter notifications show a marked increase as compared
with the preceding year, when 73 cases were reported.
The deaths from pneumonia (all forms) numbered 168.
Puerperal Pyrexia and Puerperal Fever.
The number of cases of puerperal pyrexia notified during 1933
was 47 Four of these cases were reported in respect of patients
confined at home and 43 following confinement in hospital Two
of the notified cases proved fatal, and the certified causes of death
were: —
(1) (i) (a) General peritonitis.
(b) Septic endometritis following full term labour. Laparotomy
(2) (i) (a) Lobar pneumonia.
(ii) Labour.
During the year 12 cases of puerperal fever were notified,
6 after confinement at home and 6 following confinement in
hospital.

Every administrative measure was adopted by the hospital
authorities to prevent the further occurrence of cases and it is
satisfactory to report that at the end of the year this outbreak was
effectively under control.