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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 502, as compared with 14 in the preceding year.
Of the total number (502) 283 were under five years of age.
Deaths.—There were four deaths from measles during the year.
Visiting and Nursing.—During the year, 703 visits and re-visits
were made by the Health Visitors. Cases are also visited by the District
Nurses whenever circumstances render this necessary. Two hundred
and fifty-eight visits were made in 1936.
Removal to Hospital.—Cases of Measles are received in the Hospitals
of the London County Council.
ENTERIC FEVER.
Notifications.—During the year six cases under the Enteric Fever
Group were notified in Chelsea. Five of these cases were treated in
hospital.
The history of each case was thoroughly explored, but it was found
impossible to trace an unvarying causative factor between the various
cases.
Four specimens of blood were examined during the year for the Widal
reaction.
Deaths.—There was one death from this disease during the year, an
adult aged 25 years.
PNEUMONIA, MALARIA AND DYSENTERY.
These diseases are compulsorily notifiable under the Public Health
(Infectious Diseases) Regulations, 1927.

Pneumonia.—All primary pneumonias, lobar or lobular, are notifiable
The only secondary pneumonia which is notifiable is influenzal
pneumonia.