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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 22 deaths, whereas from
measles alone there were 49 deaths. In every
case that was reported the premises were at once
inspected as to the sanitary condition.
SCARLET FEVER.
Five hundred and thirty-three cases were notified
as due to scarlet fever, against 335 in the previous year.
Four hundred and seventy-three cases reported last
year were isolated at Isolation Hospitals, and 60 cases
were treated at the homes of the patients. Seven deaths
were registered. The mortality rate on the cases reported
was only 1.3 per cent.
DIPHTHERIA AND DIPHTHERITIC
MEMBRANOUS CROUP.
One hundred and forty-one cases were reported
as due to diphtheria or diphtheritic membranous croup,
against 177 cases in the previous year. One hundred
and twenty-eight cases reported last year were treated
at the Isolation Hospitals, and 13 at the homes of
the patients. Twelve deaths were registered. The
mortality rate on the cases reported was 8.5 per cent.