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monary with the exception of one, which was glandular. The
youngest notified case was that of a child aged eight months
(glandular) ; the oldest was 56 years of age. The number of
deaths was 11 from pulmonary tubercle, and of these 8 were
males and 3 females. There was one fatal case from meningitis.
Everything possible has been done to diminish the chances of
spread of the disease, such as ensuring pure milk, free ventilation
of houses, utilising sunlight, promotion of cleanliness in
houses and outside yards, and prevention as much as possible of
overcrowding. The diagnosis of pulmonary tubercle is often
difficult, and no doubt mistakes are made both in failing to discover
the disease and in mistaking symptoms of other lung
trouble for tubercular disease.
There is undoubtedly less tubercular disease amongst cattle
and consequently less tubercular infection of milk than in previous
years. No case of tuberculous cattle has been inspected or condemned
during the year.
The rate per 1,000 inhabitants infected was about 1.03,
and the death rate per 1,000 inhabitants about 0.81.
Sanitation.
Progress continues to be made in improving the sanitary
and hygienic condition both of the houses and their environment.
The inhabitants are realising the danger to health that may be
caused by uncleanliness, and the possibility of disease being conveyed
by insects.
Milk.
The need for a full supply of cheap milk of a high nutritive
value and free from tubercular or other infection is becoming
more and more realised, both generally and by those who are
responsible for the health of the community. Milk vendors are
alive to the importance of cleanliness, although not to the desired
standard. Examinations of milk and inspections of milk
shops have been made, and for the most part the results are
satisfactory. Although it was a bad year for retaining the milk
in good condition, there were only three deaths among children
from gastro-intestinal disease. Possibly the diminished number
of flies, commonly believed to be a conveyor to milk of the
infecting bacilli causing this disease, has had some favourable
influence.