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the effect of the proper care and treatment of the cases is seen in a
diminished mortality. Whatever is the percentage of the fatal cases to
the number attacked, we all feel that it is much too high and is largely
due to the crowded home and the absence of proper nursing care. We
may ask again the old question, " what is going to diminish the spread of
Measles?" We may easily say the cleanliness and the ventilation of the
home is one cardinal point.
I have thought for years that vermin such as bugs, fleas and lice
play a very important part in the propagation of Measles, Scarlet Fever
and kindred diseases. I may say that much of the sanitary work in
Southwark is directed to the ridding our houses of such vermin. Our
houses are cleaner than they were years ago, yet there is still in that
respect much to be done.

The annual death-rate per 1,000 living was 0.51.
WHOOPING COUGH.
This disease for some years, as will be seen by the accompanying
Table has averaged 55 deaths in the year. No serious rise has occurred
since 1907. The course of the complaint is a protracted one, and is
very little influenced by Public Health measures.
The deaths from this disease were 59 for the year.
The annual death-rate per 1,000 living was 0.31.