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B. Communicable Diseases.
(1) Compulsorily Notifiable Diseases.
The details respecting the 517 notifications of infectious disease
received by me are set out in the Local Government Board's Return
(Table XV), which also shows the number treated in hospital as well
as the number of deaths.
The number of cases of each disease notified in London since 1890
are shown in Table XIV, together with cases notified during the
same period in the different divisions which, with some modifications,
now form the City. These figures are exclusive of duplicate notifications.
The charts indicate the number of notifications of scarlet fever,
diphtheria, enteric fever, and erysipelas in each week. In London
as a whole the number of cases of typhoid and puerperal fevers was
above the number notified in the previous year, while scarlet fever,
diphtheria and erysipelas were below.
In Westminster typhoid fever cases were more numerous, but the
cases of scarlet fever, diphtheria and erysipelas were much below the
average. Doubtful cases, contacts, and certain patients returning from
fever hospitals, &c., were visited.
Smallpox.—During the year seven cases of smallpox were notified
in London, one of these being in Westminster. On Sunday evening,
19th June, a lady and her child, aged 6 months, arrived at Charing
Cross Station, having travelled from Tientsin, in China (which they left
on the 7th), by overland route vid Siberia to Ostend. The child became
ill at Moscow, but was not seen by a medical man until arrival in
London, when she was taken to Charing Cross Hospital, where the
nature of the illness was at once recognised. Information was given to
the authorities at Dover and Hastings, a friend from the latter place,
having travelled from Dover to London with them. The Railway
Company and the Steamship Company were communicated with, and
steps were taken to have the saloon carriage on the train and the cabin
on the steamer disinfected. The child's father was suffering from smallpox
when she left China. The mother was removed to hospital along
with the child, who was able to be discharged on the 2nd July.
Intimation was received of 87 persons who had been in contact, or
came from places where smallpox existed, and these were kept under
observation.
Vaccination— The Vaccination Officers have supplied me with the
following particulars relating to vaccination of infants born in 1910:—