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tlx; disease when the symptoms of Post-diphtheritic Paralysis
appeared; that I case had suffered from a serious attack only
18 months previously; and that, as with Scarlet Fever, several
cases occurred shortly after an attack of Measles.
Many applications have been made at the offices for tubes of
"antitoxin," which I store for the convenience of local practitioners.
In this disease the spread of the infection (and by conscquence
the mortality) is largely due to the unfortunate circumstance
that the early diagnosis of the disease from clinical symptoms is
frequently difficult or impossible, and bacteriology alone can solve
the difficulty in many cases. The diagnosis outfits supplied by the
Council to the medical practitioners in Stoke Newington continue
to be much appreciated. Every practitioner has been kept
provided during the year with such an outfit, and has thus had
at his disposal the means of procuring a bacteriological diagnosis
of Diphtheria, Enteric Fever, and Consumption.

Since the Local Government Board has placed the matter on
a satisfactory basis, by issuing an Order authorising the provision
of antitoxin for both curative and prophylactic purposes, the
Borough Council has availed itself of this .power in necessitous