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31
Infective Diseases.
case this occurred in a child three months after he had given a
negative reaction to the primary Schick Test. In none of these
cases was there any definite clinical evidence that they were
suffering from Diphtheria.
Scarlet Fever.
721 cases of Scarlet Fever occurred, compared with 1,573 in
1934, 1,307 in 1933, and 763 in 1932.
The decrease in the number of cases has been associated with
a general decrease in the incidence of this disease throughout
London.
Five cases died, compared with five and seven respectively
for the two previous years, and the death-rate was .011 per 1,000
compared with .014 and .019. The case mortality was .69 per
cent.
The case-rate per 1,000 of population was 210:—2.82 in
Clapham; 1.80 in Putney; 1.83 in Balham; 1.65 in Streatham;
2.85 in Tooting ; and 1.92 in Wandsworth.
Of the total number of cases, 721 or 86 per cent., were removed
to hospital.
The Medical Officers of the London County Council made
inspections of five schools during the year, and any suspected
cases were at once excluded and the names and addresses forwarded
to me for inquiry.
Return Cases of Scarlet Fever and Diphtheria.
31 cases of Scarlet Fever and two of Diphtheria occurred
within one month of the return of a previous case from hospital.
Enteric and Para-Typhoid Fevers.
11 cases, and one death of the above occurred, compared
with 19 cases and two deaths in the previous year.
Five of the cases were true Enteric Fever and six were
Para-typhoid Fever.
Puerperal Fever and Puerperal Pyrexia.
During the year 12 cases of Puerperal Fever and 24 cases
of Puerperal Pyrexia occcurred. Five of the cases died. The