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11
notified as suffering from this disease. The notification of
Erysipelas in my opinion serves no useful purpose.
measles.
This disease was epidemic in the district principally
in April and May, but cases came to my knowledge as
late as September. Twelve deaths wereattributed to it during
the year, but I can give no figures as to the total number of
cases, as it is not notifiable. My experience has been that
an outbreak has occurred about every three-and-a-half years.
whooping cough
Was also prevalent, 17 deaths having been
attributed to it in the district, and 4 in the Edmonton
Workhouse.
hospital accommodation for infectious diseases.
The year has not been an absolutely barren one
as regards this important question, for an arrangement has
been effected with the Enfield Sanitary Authority by which
we are able to send cases of Scarlet Fever to their Isolation
Hospital provided they have beds to spare, on payment of
a fixed charge per week for each case. This has been found
of material assistance, and five cases were sent thither, but
under it delay is unavoidable, and it is wholly insufficient
to meet the permanent needs of the district, and it has
already happened that a specially unsuitable case for home
treatment could not be received and from this five
secondary cases, one of which was fatal, arose, while as
regards Enteric Fever and Diphtheria, it leaves the district
quite unprovided, and a Small Pox case, for which there is
not room at Highgate, may at any time arise.
The increasing proportion of cases in which application
is made to me for their removal, shews that what
has been done in this direction is much appreciated.
I would refer to the reports I have on other
occasions made on this subject, especially to my annual
report for 1893, and to a letter I laid before the Board in
Feb., 1891.
A proposal was made to utilise the old Local
Board Offices for Isolation purposes, in reference to which I
made a special report in June, which was unfavourable to
the proposal.
The matter of Hospital accommodation for cases
of infectious disease, is one imperatively demanding the
serious consideration of the District Council, as its want is
more felt each succeeding year, and at least two of the
contiguous districts have already made provision. It is