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the Health Visitors in the course of their duties. Children suffering
from the disease are visited by the Health Visitors at frequent intervals
and advice is given as to the steps necessary to avoid complications.
On request by the School Medical Officer of Health of the London
County Council, advice leaflets are supplied to the Head Teachers of
schools in the area affected with an outbreak of Measles. These leaflets
are distributed to the parents and guardians of the children attending
such schools. Co-operation between the school nurses and the Borough
Health Visitors has been arranged.
The number of cases coming to the knowledge of the Department
during the year was 12, as compared with 748 in the preceding year.
Deaths.—The number of deaths was one, a female, aged two years.
Visiting and Nursing.—During the year, 12 visits and re-visits
were made by the Health Visitors. Cases are also visited by the District
Nurses whenever circumstances render this necessary. No visits were
required in 1931.
Removal to Hospital.—Cases of Measles are received in the Hospitals
of the London County Council.
ENTERIC FEVER.
Notifications.-—During the year the number of cases under the Enteric
Fever Group notified in Chelsea was 2 (Para-typhoid).
The cases were females, their ages being 4 and 12 respectively. Each
of them was removed to hospital and subsequently recovered.
The history of each case was thoroughly explored but it was found
impossible to trace an unvarying causative factor between the various
cases.
Three specimens of blood were examined during the year for the
Widal reaction.
Deaths.—There was no death from this disease during the year.
PNEUMONIA, MALARIA AND DYSENTERY.
These diseases are compulsorily notifiable under the Public Health
(Infectious Diseases) Regulations, 1927.
During the year the following numbers of cases were notified
Pneumonia 127
Malaria . None
Dysentery None
Pneumonia.All primary pneumonias, lobar or lobular, are notifiable.
The only secondary pneumonia which is notifiable is influenzal
pneumonia.