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cases of typhoid occurring in Mottingham during several years past
to an extent somewhat above the average were caused by the consumption
of specifically infected milk, yet I specially considered that
report and advised your Council to carry out as far as possible any
suggestions which were practicable and likely to improve the conditions
of the milk supplies, soil and water. Your Council had
already settled for the better disposal of the storm water and a
considerable improvement has been made in this respect during the
past year ; the Mottingham pond was thoroughly cleaned out in
September at a cost £37 10s., part of the expense (£15) being
borne by the Rev. Canon St. John on behalf of Mottingham House ;
improvements have been made at the dairy farms and a number
of drains examined and reconstructed. This work will be further
continued during the ensuing year.
I am glad to report that there has been 110 case of Typhoid
Fever at Mottingham since February, 1904.
Puerperal Fever-—Two non-fatal cases occurred as compared
with 1 in 1903, and arose 1 in January at Hayes, and 1 in
July at St. Paul's Cray.
NON-NOTIFIABLE DISEASES.
No deaths resulted from Measles during the whole of the
year.
Whooping-cough caused 9 deaths—1 in February at Cudham,
1 in May at Keston, 2 in October at Orpington, 3 in November
at Orpington, and 2 in December at Orpington. The patients'
ages varied from 27 days to 5 years.
Diarrhoea was responsible for 10 deaths—1 in May at Keston,
3 in August (i at St. Mary Cray, 1 at Chelsfield, and 1 St. Paul's
Cray), 3 in September (1 at Cudham and 2 at Orpington), 1 in
October at Hayes, 1 in November at St. Mary Cray, and 1 in
December at Farnborough. Nine of the patients were infants
under 1 year of age and 1 an adult female.
Influenza caused 3 deaths—1 in January at Downe, 1 in
February at Orpington, and 1 in December at Farnborough, two of
the patients being infants and one an adult male.
HOSPITAL ISOLATION.
Fifty cases of infectious disease were treated at the Bromley
and Beckenham Joint Hospital, and 2 at the Union Infirmary,
Farnborough, consisting of 26 cases of Diphtheria, 22 cases of
Scarlet Fever, 1 of Erysipelas, 2 of Enteric Fever, and 1 of
Puerperal Fever.