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55
SMALL-POX.
Two cases of this disease were notified during the year 1909.
(1) H. L., aged 24, Barman, engaged at a tavern in the city. The
source of the disease was traced by the Medical Officer of the
City. His home in our borough was disinfected and the contacts
were re-vaccinated. No further spread of the disease from the
home took place.
(2) D. P., aged 22 years, Kitchen Porter. This case was found, after
a residence of ten days in the hospital, not to be suffering from
the disease, and was discharged.

SCARLET FEVER.
The deaths from Scarlet Fever in the borough were 14 during 1909,
as against 24, 35, 45, 28 and 12 for the preceding five years. This cycle
of five years, which is the usual cyclical period of the disease in this
borough, has been marked by a diminution of one-third of the number of
the cases when compared with those of the previous period of five years.
There has likewise been a smaller death-rate on the number of cases
notified. This condition must be considered as highly satisfactory.
The cases have been spread pretty evenly over the district, and nothing
in the form of an outbreak has occurred. If the disease takes its usual
course the lowest point of the cycle was reached this year, and we may
therefore look to a rise next year. I trust, however, the recent improvement
may continue.
Every case has been carefully inquired into, and a full statement of
all contacts sent on to all those interested and concerned in the matter.
The total number of cases notified was 590, as against 775 for 1908.
The percentage of deaths to the total cases notified was 2.0.
The annual mortality per 1,000 living was 0.07.