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(2) The isolation of the patient and disinfection of the dejecta,
etc.
(3) Destruction of flies.
(4) The watering of the streets to lay the dust.
(5) The spraying of the nose and throat of all contacts, more
especially those in attendance on the sick; and
(6) An effort to reduce the accumulation of refuse in the near
vicinity of dwellings.
This disease was made compulsorily notifiably by the London County
Council, with the approval of the Local Government Board, from
September 1 of last year; and Cerebro-spinal Fever was made compulsorily
notifiable for a further period of twelve months from
March 13, 1911.
SMALL-POX.
There was a localised outbreak of this disease in the early part
of the year.
The first known case in the outbreak was that of a young girl
who became an inmate of the Mile End Infirmary on February 5, and
was removed, with six other patients, to the Board's Small-pox
Hospital on February 21, 1911.
For a little over seven months previous to the latter date no
case of Small-pox had occurred in London. Of the seven cases referred
to above, five were in-patients at that infirmary, one was a
scrubber employed there, and the seventh was a sister of the first
case and living in Mile End. On February 22, four, and on the 23rd,
fourteen, patients were removed from the infirmary or from houses in
contiguous districts, and from that date onward until the middle of
May cases continued to arise from day to day.