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26
remote hospitals. Under a special arrangement between the Borough Council
and the Fulham District Nursing Association 107 cases were attended by the
District Nurses who made 887 visits to the homes of these patients.
As in former years it was impossible for the Council's staff to cope with
the home visiting of the patients at the height of the epidemic and the employment
of two additional Health Visitors was authorised.
ENTERIC FEVER.
Four cases were notified during the year, compared with five last year,
and one death occurred.
CEREBROSPINAL FEVER.
Six cases were notified during the year. Of the six cases four were in
males and two in females. The ages of the notified patients varied from nine
months to 52 years. Five of the cases proved fatal.
PUERPERAL FEVER.
Four cases were notified and there were three deaths from puerperal
sepsis. The incidence in 1934 was equivalent to 1.9 per thousand of the
registered births (live and stillbirths).
PUERPERAL PYREXIA.
Puerperal Pyrexia is defined in the Public Health (Notification of
Puerperal Fever and Puerperal Pyrexia) Regulations of 1926 as " any febrile
condition, other than a condition which is required to be notified under the
Infectious Diseases (Notification) Acts, occurring in a woman within twentyone
days after childbirth or miscarriage in which a temperature of 100.4°
Fahrenheit (38° Centigrade) or more has been sustained during a period of
24 hours or has recurred during that period."
Thirty-seven cases were notified during 1934 as compared with 27 during
1933. In addition one case was subsequently notified as Puerperal Fever. The
incidence per thousand births (live and stillbirths) was equivalent to 18.02.
The services of Mr. Alexander Galletly are available for the purposes
of consultation with private doctors in cases of Puerperal Fever and Puerperal
Pyrexia.