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31
[1928
The total cases notified are 447 more than those of the previous year (1,813),
and 61 below the average (2,321) of the preceding ten years. The increases
when contrasted with the decennial averages are to be found in the returns from
Small Pox, Membranous Croup, Scarlet Fever, Enteric Fever and Puerperal
Fever, which were respectively 3, 1, 89, 3, 14 above the average, while Diphtheria
showed a decrease of 171 cases on the ten years' average.
The 2,260 cases were equal to an attack-rate of 6.96 per 1,000 of the civil
population.

Registration Sub-Districts.—The total number of cases notified in these
districts was as follows:—
Total cases notified.
Tufnell 198
Upper Holloway 249
Tollington 281
Lower Holloway 293
Highbury 327
Bamsbury 408
Islington South-East 504
Total 2.260
SMALLPOX.
We had during the year in Islington a rather serious outbreak of Smallpox
not as regards the number of cases, which one may assume, owing to the precautions
taken, were small, but owing to the fact that cases occurred in a large Institution,
the Holborn and Finsbury Hospital, Archway Road. As these cases are allocated
to their respective home addresses, statistically they are not credited to Islington.
One verified case of Smallpox amongst the cases notified during the year is
credited to Islington, as the home address was in Englefield Road. The disease,
however, was contracted by this man at his workplace, where he had been in contact
with a lad who is supposed to have contracted the disease in Southwark. Our
Islington case was not the only one who was infected at the particular workplace
in Westminster. The Medical Officer of Health saw the case at the request of the
patient's doctor, together with the London County Council s expert, Dr. Wanklyn.
As the family occupied two rooms on two floors of a fully occupied house, which
comprises in addition to this family two other families, the premises were not left
in order that the movements of the inmates might be controlled until vaccination
had been offered to them all. The Superintendent, Mr. G. J. Bridel, made the necessary
telephonic communications for removal, and immediately afterwards proceeded
to Colindale for vaccine lymph. Dr. Lynch, the Public Vaccinator for the district,
carried out the vaccinations as soon as the lymph was obtained, the same night