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in the year under review is below the average, especially when the
increase in population is taken into consideration. The total of
383 cases is equivalent to a case-rate of 2.38 per thousand of
population which is slightly less than the case-rate of 2.41 for the
whole of England and Wales.
The occurrence of cases throughout the year was as follows:—
Jan. Feb. Mar. Apr. May June July Aug. Sept. Oct. Nov. Dec.
36 48 42 20 36 31 31 12 17 26 46 38
The Wards in which the cases occurred are shown in the
table on page 50, which indicates that the highest number, 75, was
notified from the North Hanwell Ward and that 58 cases occurred
in each of the Greenford Wards.
One death occurred from the disease, this being a boy ten
months of age. The scarlet fever death-rate for the area of 0.01
per thousand of population is the same as that recorded for England
and Wales.
Enteric Fever. Two cases coming under this heading,
brothers aged 9 and 15 years, were notified. Both patients were
removed to Clayponds Isolation Hospital, where they made a
satisfactory recovery.
Puerperal Pyrexia.—There were 46 cases of puerperal
pyrexia notified during the year, nearly double the number in the
previous year. This increase was due to the cases which occurred
in the Perivale Maternity Hospital being notifiable to Ealing,
instead of to Brentford & Chiswick as was done when the old
maternity hospital was open. Fifteen cases occurred in the
patient's own home, five of these being removed to hospital for
treatment. Twenty-seven cases occurred in the Perivale Maternity
Hospital, two in a local nursing home and two in hospitals outside
the district. Two of the cases which occurred in the maternity
hospital were admitted to the cubicle block at the Clayponds
Isolation Hospital.
There was one death from puerperal sepsis. This patient had
her confinement at home and was removed to the West Middlesex
County Hospital, where she died.