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15
mortality rate on the cases reported, as no doubt
only a proportion of the cases which occurred were
known of by me. Owing to the stringent instructions
of the Educational Department of the London County
Council most of the cases, as usual, occurring among
pupils at the schools of the London County Council
were reported to me. A strict system of disinfection
was carried out in accordance with the provisions of
the Public Health (London) Act, 1891, and very little
opposition was met with. The disinfection in the case
of measles has continued to entail a large amount of
extra work on the Public Health Department, and
particularly so on the Disinfectors.
From the whole of the notifiable infectious
diseases there were only 26 deaths, whereas from
measles alone there were 28 deaths. In every
case that was reported the premises were at once
inspected as to the sanitary condition.
SCARLET FEVER.
Three hundred and thirty-five cases were notified
as due to scarlet fever, against 236 in the previous year.
Two hundred and ninety-five cases reported last year
were isolated at Isolation Hospitals, and 43 cases were
treated at the homes of the patients. Three deaths were
registered. The mortality rate on the cases reported was
only .9 per cent.
DIPHTHERIA AND DIPHTHERITIC
MEMBRANOUS CROUP.
One hundred and seventy-seven cases were reported
as due to diphtheria or diphtheritic membranous croup,
against 195 cases in the previous year. One hundred
and sixty-two cases reported last year were treated at
the Isolation Hospitals, and 15 at the homes of the
patients. Fourteen deaths were registered. The
mortality rate on the cases reported was 7.9 per cent.