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30
1933]
The total cases notified are 54 more than those of the previous year (1,962),
and 117 below the average (2,133) of the preceding ten years. The decreases when
contrasted with the decennial averages are to be found in the returns from
Diphtheria and Enteric Fever, which were respectively 292 and 1 below the
average, while Scarlet Fever, Membranous Croup, Erysipelas and Puerperal Fever
showed increases of 116, 1, 45 and 3 respectively on the ten years' average.
The 2,016 cases were equal to an attack-rate of 6.32 per 1,000 of the civil
population.

SMALL POX.
There were 11 cases notified during the year, of which number 1 was unconfirmed.
Of the 10 confirmed cases, 6 were unvaccinated, 4 were vaccinated in
infancy. The unconfirmed case had been vaccinated in infancy. The type of
small pox as usual was Variola Minor.
The first case, on the 3rd of January, was a visitor contact with an Islington
case in December, 1932. The second case, on the 15th March, was probably
infected at his work at the Oxford Circus Tube Station, as a fellow-workman living
in Wandsworth also contracted the disease at this time. The third case, on the
28th March, was this man's w ife, the 4th, 5th, 6th and 7th his children, as vaccination
was at first declined. The 8th case and also the 9th case were contacts with
this family; No. 10, as stated, was not confirmed as Small Pox. Case No. 11,
11th December, was employed with a Telegraph Firm in the City of London, and
the source of infection was obscure for some time until it was discovered that a
fellow-worker living at Camberwell had been absent with supposed Chicken Pox.
The Medical Officer of Health of Camberwell reports that this supposed Chicken
Pox resulted in 14 cases of Small Pox being subsequently notified.