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37
Diphtheria Immunisation.— The Schick Testing- and Diphtheria Immunisation
Clinic opened at the beginning of 1928, continued to operate under Dr. Bulman at
113, Marylebone Road.

Scarlet Fever.
Notifications of this disease numbered 141, the highest number of cases
reported in any one week being 7. There was one death from scarlet fever
during 1936. In 1935 there were 155 notifications, no deaths resulting.
The districts to suffer most from the disease were All Souls and Christ Church.
In the former there were 44 cases and in the latter 43. St. Mary and St. John
each reported 27.
As usual, the majority of the patients were children, 98 being under 15 years
of age. Of the remainder, 32 were in the age group 15-35 and 11 were over 33
years of age.
Though it seemed probable that many of the children notified acquired their
infection in school, it was only in 12, instances, that a definite connection could be
made out.
Defects in sanitation to the number of 5 were discovered. All these were
want of cleanliness, etc. The nuisances were remedied after the service of notice
in each case.
Enteric Fever and Paratyphoid Fever.
Five notifications of Enteric Fever and three of Paratyphoid Fever were
received. There was one death. In none of the cases was any information
obtainable indicating that the source of infection arose within the Borough.
Cerebro-Spinal Fever.
There was one case of this disease notified during the year. The patient died.
Encephalitis Lethargica, Polio-Encephalitis and Polio-Myelitis.
No notification of Encephalitis Lethargica was received during the year, but
two deaths of long standing cases were registered. One case of Polio-Encephalitis
and two cases of Polio-Myelitis were notified during 1936. There were no deaths.
Erysipelas.
The notifications of erysipelas numbered 28, and there were no deaths. Most
of the cases were notified from St. Charles' Hospital and the General Hospitals,
and 23 patients were treated in such institutions.
Puerperal Fever and Puerperal Pyrexia.
The number of cases of Puerperal Fever notified was 4. In each case, other
than where the notification was in respect of a non-resident in-patient of an
institution, a visit was paid by one of the Health Visitors and assistance and
advice as were suitable and possible offered. No death was recorded. Particulars
of the 2 deaths attributed to other puerperal conditions are given under the heading
"Maternal' Mortality.''