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total of 317 cases is equivalent to a case-rate of 2.01 per thousand
of population, compared with the case-rate for England and Wales
of 2.33 per thousand of population.

The Wards in which the cases occurred are shown on page 59.
It will be seen that North Greenford Ward was most affected with
69 cases during the year.
One death occurred from the disease, this being a girl, 4 years
of age. The scarlet fever death-rate for the Borough, 0.01 per
thousand of population is similar to the death-rate for England
and Wales.
Enteric Fever.—Five cases coming under this heading
were notified. There was no connection between any of the cases
and it was not found possible to trace the source of infection. None
of the cases proved fatal.
Puerperal Fever and Puerperal Pyrexia.—Four cases of
puerperal fever and 24 cases of puerperal pyrexia were notified
during the year. From the 1st October, 1937, by the operation of
the Pubhc Health Act, 1936, the term Puerperal Fever was discontinued
and cases previously coming under this heading became
notifiable as Puerperal Pyrexia.
All four cases of puerperal fever occurred in the patient's own
home, two being removed to hospital for treatment. Of the cases
of puerperal pyrexia, 13 occurred in the patient's own home,
three in nursing homes and eight in hospitals, six of the latter
being in hospitals outside the district. Six cases, including two
patients who were in nursing homes, were removed to hospital
for treatment.
None of the notified cases proved fatal although one death
from puerperal sepsis is assigned to the district. This was a woman
who had been admitted to the West Middlesex County Hospital
for her confinement and who subsequently died.