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may be expected in 1942 or 1943.
There was no special feature about the cases which occurred
in 1941 27 of which were admitted to hospital and all recovered.
ERYSIPELAS
The number of cases of Erysipelas notified was 27, this
being the greatest number notified locally, the previous highest
being 23 in 1933, Only 4 of these cases were among the normal
residents of the District, 23 being inmates of two of the local
mental hospitals. There was no association between either of
the 4 adults infected, one of Whom was treated in hospital.
All recovered.
PUERPERAL FEVER.
Only 1 case of Puerperal Fever was notified during the
year, fortunately a mild one. The patient was admitted to the
Isolation Hospital and recovered.
OPHTHALMIA NEONATORUM.
One Case was notified and this being acutely affected was
admitted to Whiteoaks Hospital, Swanley, where complete recovery
without impairment of vision was made.
ACUTE POLIOMYELITIS.
Two unconnected cases of this disease were notified
during the year, and removed to hospital.
CEREBRO-SPINAL FEVER.
Six cases, of this disease were notified, 4 being in
adult males who all worked in London and two in young children.
There was 110 direct connection between any of the cases, which
were scattered over the District. All except one were treated
in hospital and all recovered.
PNEUMONIA.
There were 32 notifications of cases of acute primary
or influenzal pneumonia, which is slightly more than the average
for the last five years. Of this number 22 occurred in the
mental hospitals None of the 10 cases among the normal
residents was admitted to the Isolation Hospital.
MEASLES.
There were 214 notifications of measles received under
the Measles and Whooping Cough Notification Order 1940, this
being less than half the number recorded in 1917, which was
the peak year when Measles was notifiable during the last war
period. By comparison with these 214 notifications received
from medical practitioners, 288 were notified by Head Teachers
of the public Elementary Schools, but a small proportion of
these related the children living outside the District, although
attending Schools in the District. Some were notified from
both sources.
as is to be expected in a measles epidemic, only a
proportion are seen by Doctors, the including a high
percentage of children under school age or attending private
schools. While school notifications are confined to the
Public Elementary Schools., almost all the children attending
these who suffer from the disease art notified by the Teachers,
hence these forms of notification are supplementary to each
other. '
There were probably well oyer 300 cases in the District
and of these only 3 needed to be admitted to the Isolation
Hospital and no deaths occurred.