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9
tered. Of the total number of fatal attacks nineteen
were of infants under one year of age, and nearly all
the cases arose during the spell of very high temperature
experienced for a while during the summer. Disorders
of the circulatory and respiratory organs claimed
many victims, especially among old people and very
young children.
Tuberculosis.
One hundred and twenty cases of Pulmonary
Tuberculosis, and fifty-five other forms of the disease
were notified. Pulmonary Tuberculosis caused thirtyseven
deaths, Tuberculosis Meningitis eight, and four
were attributed to other tuberculous affections, being
a total of forty-nine deaths compared with fifty-one
in 1912. The Phthisis death rate equalled 0.54 per
1,000 of the population. We pay visits following notification
to all cases when deemed necessary and expedient,
and advise as far as practicable on the question
of isolation, disinfection, and the supply of Sputum
Bottles, etc. These visits are not invariably appreciated
by the patients and their medical attendants.
I omit visits when I know the sufferers are under continuous
medical observation and care, and reside in
superior dwellings, but we make no exceptions in the
case of the poorer classes.
I mentioned in my last Report that Ealing had
been selected by the County as one of the areas for the
establishment of a Tuberculosis Dispensary.
I regret that this has not yet been accomplished,
although a Tuberculosis Officer was appointed some
months ago. In an interview with him, I was informed
all "insured persons" suffering from these
diseases (and they comprise a majority of the whole
number) would come under his direction.
In the absence of an organised scheme, I find some
difficulty in obtaining for "non-insured" persons the