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p 42 of the Annual Report for 1905, and on p. 36 of the Report for 1906
will be found a brief account of a fatal case that occurred in the City in that
year.
On the 21st February, 1907, a circular letter was received from the Local
Government Board pointing out that Cerebro-Spinal Fever had recently been
somewhat prevalent in parts of Scotland and Ireland, and that a few cases had
occurred in this country. Sanitary Authorities were therefore advised to be
on the alert to detect the presence of the disease in their district, or to satisfy
themselves as to its absence. The Board also directed attention to their
Memorandum issued in August, 1905, referred to above, and copies of the
same were again issued by the Corporation.
On the 26th February, 1907, the London County Council made an order
requiring, for the period of six months, the notification of cases of Cerebrospinal
Fever occurring within the administrative County of London. This
order was approved by the Local Government Board, and came into operation
on the 12th March. The Council made another order in August, extending
the notification of this disease for a further period of eighteen months as
from and including the 13th September. This was also approved by the
Local Government Board, and accordingly came into operation on that date.
No case has been reported in the City since the disease became notifiable.
DIPHTHERIA IN PUBLIC ELEMENTARY SCHOOLS.
In January, 1907, your Medical Officer reported that the Medical Officer for
the Education Department of the London County Council had informed him
that the Council had passed the following Resolution :
"That the Education Committee be authorised to refuse, during the
"presence of diphtheria in any district, re-admission to school of children
"excluded on account of diphtheria or sore throat, until such children
"shall have obtained a medical certificate of freedom from infection
"based on a bacteriological examination."
The letter suggested that in order to give effect to this Resolution, it was
proposed that a card should be used for such cases, giving the reason for
exclusion, and stating that the necessary certificate could be signed by their
own Doctor or the Medical Officer of Health.