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occurred on the continent, in another the infection had probably
occurred whilst on holiday in Somerset, whilst a third had eaten
infected shell fish. Only one case terminated fatally.
Malaria.
Only one case of Malaria was notified during the year, and it was
in a visitor to this country who had contracted the infection abroad.
Measles.
During the year there were 716 cases of Measles notified in
pursuance of the Borough of Hampstead (Measles) Regulations, 1920;
this represents an increase of 491 over the previous year. There were
3 deaths (at ages 1 year 4 months, 1 year 11 months and 2 years).
The outbreak commenced in the first week of April and lasted
until the end of July, whilst the peak was reached in May, for 117
cases were reported during the first fortnight. Hospital accommodation
was provided for 104 of the total cases. All the notified cases
were visited in their homes by the Health Visitors, whilst in appropriate
cases home nursing was provided free of charge by the two
local branches of the Nursing Association. An analysis of the cases
shews that 73 occurred in children under 2 years of age, 221 occurred
between the ages of 2 and 5 years, whilst 290 were children between
the ages of 5 and 10 years.
London County Council Scheme of Control.
During 1932 the Scheme of Control drawn up with the approval
of the London County Council and the Metropolitan Borough Councils
was put into operation in connection with five Schools in the Borough,
and the Head Teachers were supplied with advice leaflets for distribution
to parents through the School organisation.
Generally speaking, the Scheme aims at closer co-operation
between the School Nurses, Head Teachers, and School Attendance
Staffs of the County Council, and the Public Health Staffs of the
Borough Councils, and its objects is the reducing of the mortality and
mitigating the complications associated with measles epidemics. The
measures set out in the Scheme, however, are mostly required in those
areas where overcrowding and insanitary conditions prevail.
The Scheme was devised primarily to assist Borough Medical
Officers of Health to arrange for Health Visitors to follow up cases