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64
flies, the importance of removing at once all accumulations of refuse
and other offensive matters, uncleanliness generally as a cause of
diarrhœa, etc.
The subject of Child Welfare Schemes is dealt with under
Infantile Mortality.
GLANDERS, ANTHRAX, ETC.
During 1914, 4 notifications of animal glanders in the Borough
were received under the London (Notification of Glanders) Order,
1907*, but no case of human glanders, anthrax or hydrophobia
was notified.
EPIDEMIC INFLUENZA.
During 1914, 33 deaths were registered from Influenza in the
Borough. Of the 33 deaths, 16 were registered during the first,
9 during the second, 2 during the third, and 6 during the fourth
quarter of the year. The annual averages for the two decennia
1891-1900 (Parish) and 1901-10 (Borough) are respectively 107.5
and 53.2.
OPHTHALMIA NEONATORUM.
(CONTAGIOUS OPHTHALMIA OF NEWLY-BORN INFANTS.)
Ophthalmia neonatorum was made compulsorily notifiable
in the Administrative County of London as from, and including,
March 13th, 1911, by Order made by the London County Council
and duly approved by the Local Government Board.
A further Order, dated February 5th, 1914, known as the
"Public Health (Ophthalmia Neonatorum) Regulations, 1914,
has been issued by the Local Government Board, extending the
compulsory notification of the disease to every sanitary district
in England and Wales, and requiring certain additional information†
beyond that required in connection with notifications under the
Infectious Diseases (Notification) Act. Certified midwives are
also required to notify, under the new Order, children suspected
to be suffering from the disease, unless already notified by a medical
practitioner. The regulations came into force on April 1st, 1914.
During 1914, within the Borough, 57 infants were notified
as suffering from the disease. Each case was visited officially
and the necessary precautionary measures were taken. No case
was removed to hospital.t All the notified infants recovered.
* The Order includes also Anthrax and Hydrophobia occurring in human
beings.
† Date of birth, name and address of the parent or other person (if any)
having charge, and date of onset of the disease.
‡ No special hospital accommodation for cases of ophthalmia neonatorum
has been provided in London, the general and special hospitals dealing
with the cases in their out-patient and in-pattent departmenis as required.