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60
The method of procedure adopted is that whenever a
medical man notifies a case of Puerperal Fever, or Puerperal
Pyrexia, he shall at the same time indicate on the notification
form whether or no he desires the help of one of the obstetric
consultants. Should he do so, then your Medical Officer of
Health immediately puts him into direct communication with the
consultant selected by the Medical Practitioner, an order for his
attendance being issued by this department, which naturally
carries with it the obligation to pay the agreed fee. On receipt
from the Consultant of a short report respecting the case the fee
becomes due and is paid. Should the Medical Practitioner also
or alternatively desire assistance in the way of bacteriological
examination, then necessary arrangements have been made and
put into force in connection with our existing machinery for
this purpose at the Seamen's Hospital, Bacteriological Department.
These Regulations came into force on the 1st October.
1926, and during the remainder of the year we received under the
regulations notification of four cases of Puerperal Fever and one
case of Puerperal Pyrexia. There was no call for the assistance
of the Obstetric Specialist or of the Bacteriologist.
Measles.—This disease was made permanently notifiable
by an Order of this Council, approved bv the Ministry on the
1st July. 1920.
One thousand two hundred and ninety-nine cases were
notified during the year, as compared with 1,610 during the
previous year, and 1,874 for the year 1924. Forly-six such
cases were removed to Hospital for treatment.
The ages and incidence of fatality of the disease were as
follows:—
There were 60 cases under 1 year of age. Between the
ages of one to five years there were 576 cases with 13 deaths
at this age period, giving a case mortality of 2.2 per cent., and
663 cases between five years and sixty-five years with no deaths.
The case mortality for the whole district works out at
l.00 per cent. as compared with 1.3 for the previous year, and
1.4 for the year 1924.