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The only point of note in the remainder of the cases in the District
is that those in the Ward next most highly affected were associated
with an outbreak in a neighbouring Urban District. In both outbreaks
the disease was of average severity, though, in addition to the death
referred to in the main outbreak, two deaths occurred early in the year
in isolated cases, delayed admission to Hospital being partly responsible
for one of these.
During the year there has been some change in outlook on the
question of immunisation in the District, due in part to the number
of cases which have occurred, and more especially to the facilities
recently provided in neighbouring districts, and the spread of information
on the subject. While it is still felt that general immunisation cannot
be strongly urged, there is undoubtedly a case for the provision of facilities
for those who wish to avail themselves, especially in view of the action
of neighbouring Authorities. With this in mind, it is probable that
some provision will be made for the commencement of an Immunisation
Scheme during 1936.
ENTERIC FEVER.
Only one case of Enteric Fever was notified as compared with an
average of 5 cases per annum for the past five years.
The case, which was one of Paratyphoid, occurred in January, was
treated at home, and recovered.
DYSENTERY.
There were 6 cases notified during the year, all being cases of
" Hospital Dysentery " occurring in one of the Mental Hospitals, and
caused by the Flexner type of bacillus. It is probable that a number
of mild cases of dysentery occurred among the general population towards
the end of the year, associated with a comparatively unrecognised, but
widespread outbreak in and around London. An investigation was
made, but unfortunately as far as this District was concerned it proved
impossible to obtain definite information. The organism found in
other neighbouring Districts among the general public was not that
causing " Hospital Dysentery
SCARLET FEVER.
As anticipated in the Annual Report for 1934, the wave of Scarlet
Fever which occurred in that year was carried through into 1935.
During the year 124 cases were notified as compared with 119 in 1934,
and 69 in 1933.
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