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during the day at Cherington House, Hanwell. This anti-toxin is
provided free of charge when the parents or relatives of the patient
are not able to afford to pay for it. During the year 388,000 units
of anti-toxin were supplied for administration in this way.
Scarlet Fever.—The number of cases of scarlet fever was less
than in the previous year, although it was more than in the years
1923 to 1927. The months in which the prevalence was greatest
were January and March, when 31 and 38 cases respectively, were
notified. It will be seen from Table VI that the lowest number of
cases occurred during February, June, July and August. No
Ward of the Borough suffered particularly during the year, the
cases being more or less evenly distributed throughout the Borough.
The disease on the whole was mild in character, but three deaths
occurred. In the three previous years there were no deaths
recorded. The death-rate from scarlet fever for Ealing during the
year was 0.03 per 1,000 of population. This rate is a little more
than that for England and Wales and for London, the rates for
each of which was 0.02 per 1,000 of population.
Enteric or Typhoid Fever.—There was only one case notified
under this group of diseases, namely, a case of typhoid fever, compared
with twelve cases in the previous year. The case was that
of a man 40 years of age who developed the disease on his return
from holiday. He recovered from his attack so that no death had
to be recorded.
Smallpox.—One case of smallpox was notified during the year.
An account of this case is given in the report which was submitted
to the Council at the time of its occurrence. There were fortunately
no secondary cases. The Report submitted to the Council was
as follows:—
REPORT TO THE PUBLIC HEALTH COMMITTEE.
Case of Smallpox.
I have to report that a case of smallpox has occurred in the Borough
since the last meeting of the Public Health Committee.
This was a young man, W.R.S., 21 years of age, whose home is at
Drayton Green, West Ealing, but who ordinarily "lives in" at his place
of employment in the City of London where he is a warehouseman.
He developed at his place of employment what was supposed to be
a "chill" on Tuesday, the 30th April. He had a rise in temperature,
headache and backache and was kept in bed and attended there by a
doctor. His condition had so much improved, although he still suffered