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Puerperal Fever.—Five cases of this disease were notified
during the year as compared with one last year. Two occurred in
East Greenwich, 2 in West Greenwich and 1 in St. Nicholas,
Deptford. Three of the cases were removed to hospital for treatment,
of whom one died.
Puerperal Pyrexia.—There were 9 cases attributed to this cause
during the year as compared with 10 for the previous year. Three
occurred in East Greenwich, 1 in St. Nicholas and S in Charlton
and Kidbrooke. Five of such cases were removed to hospital.
Epidemic Cerebro-Spinal Meningitis, Cerebro-Spinal Fever
or Post-Basal Meningitis.—There were only two cases of this
disease during the year. One occurred in East Greenwich and the
other in West Greenwich. Both were removed to Hospital for treatment.
Acute Polio-Myelitis.—Three cases were notified during the
year as compared with one case for the previous year.
Influenzal Pneumonia and Acute Primary Pneumonia.—
During the year 154 cases of Influenzal Pneumonia and Primary
Pneumonia were notified, of which more than half (82) occurred in
East Greenwich, one of the low-lying districts of the Borough.
As provided in the regulations where nursing was inadequate
a district nurse was sent in accordance with an arrangement with
the local Nursing Association.
Influenza, unless accompanied by pneumonia is not notifiable.
Leprosy.—A somewhat unusual experience in Greenwich as
Medical Officer of Health was to see a case of Leprosy which was
admitted to the Dreadnought Hospital. The patient, an Asiatic
seaman, developed the disease on a voyage from the East, and on
arrival in London and pending his return home was isolated in
Hospital for three days. The disease was of the form known as
Lepra Nodosa, hard nodules slightly larger than a pea, and were
mostly confined to the face with a few on the arms and legs. The
man otherwise seemed perfectly well.
Infectious Diseases.—In connection with infectious diseases,
it has occasionally happened that residents of Greenwich whilst on
holiday or otherwise have contracted infectious disease in the district
in which they are temporarily residing. In certain cases the authorities