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48
Deducting these cases the death rate in Hospital works out
about 10 per cent., and of course the outside rate proportionately
higher.
I should like again to draw the attention of the Council to the
following resolution passed by the London County Council with
regard to the prevention of Diphtheria in Schools:—
"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.''
I also recommend that a further resolution be passed that no
child should be allowed to return to school until two weeks have
elapsed after he or she has been discharged from Hospital, or
certified as "clear" when treated at home.
Enteric Fever.
The number of notified cases dropped this year to 22, 6 less
than last year.
As in last year I found it difficult in many cases to assign the
exact means of infection. The water in every case being
examined chemically and in several cases bacteriologically as well,
but in no instance was there any sign of the Bacillus Typhosus.
The milk supplies were numerous, viz.:
6 from one milkman.
9 condensed.
7 various.