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14
of August. The increase in Acton did not become abnormal until
the first week in October, when the number of notifications increased
from 4 in the week ended September 28th to 15 in the week ended
October 5th.
DIPHTHERIA.
63 Cases of Diphtheria were notified, and 5 deaths resulted
from the disease.
There is a slight increase both in the number of cases and deaths.
The spread of Diphtheria seems to be more intimately connected
with school attendance than that of the other infectious
diseases. Out of 32 cases that occurred amongst children attending
school, 22 of these were in 4 schools, and the history of a limited
outbreak in Rothschild Road School will show how easily the
disease can be spread.
A notification was received on January 30th. The child lived
in Kingswood Road and attended Rothschild Road School. The
child had been ill since January 13th, and had attended school on
January 14th—17th. The children attending the school were
examined and a list of those absent on account of illness was obtained.
I examined all the children unattended by a doctor and
obtained the consent of the parents to swarb all suspicious throats.
As a result 3 children were found suffering from the disease.
ENTERIC FEVER.
13 Notifications were received, and 3 deaths were registered.
In 2 of the cases the disease was contracted outside the district,
and in one of these the patient had exhibited symptoms before he
arrived in Acton. He was a steward on a steamship and left
Southampton for New York on April 25th. He returned to
Southampton on May 17th, and came here on a visit to friends on
May 18th. He first exhibited symptoms of the disease on May 15th.