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address given, and enquiry by letter from the signatory to the notification
certificate failed to elicit such information as would enable us to
trace the case.
One case occurred in the Strand Union Workhouse and 3 in the
Edmonton Union Workhouse.
In 2 instances it appeared certain that the disease was contracted
without the district.
In 2 cases the ingestion of shell fish appeared likely to have been
the mode of infection.
The other cases presented no special features calling for comment.
No definite group of cases having a common source of infection
occurred during the year.
No case was notified between April 16th and August 11th.
One death occurred in the district and 1 of the cases died in the
Tottenham Hospital.
Diphtheria.
Thirty-nine cases were notified, of which 9 were secondary cases in
infected houses. Beyond the total absence of any hospital accommodation
for dealing with them they presented little calling for remark.
Ten of the cases attended the Croyland Road Board School, but
they were spread over a considerable period of time.
There was no epidemic prevalence of the disease during the year,
and no very definitely connected group of cases occurred.
Six deaths occurred in the district.
Puerperal Fever.
Five cases were notified during the year, of which 2 were fatal.
Small Pox.
No case occurred.
Vaccination.
This has been practically in abeyance in the district since the
provisions of the new Act were made generally known, and a suitable
pabulum of unprotected persons is in consequence rapidly accumulating
for the extension of Small Pox whenever a suitable opportunity for its
introduction and dissemination may happen to be afforded.