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was notified by two doctors of the Infirmary. The sole survivor of the
Edmonton women was notified from the Infirmary.
During 1914-15 there were 279 midwives practising privately in Middlesex
and 476 not practising ; besides, there were 18 engaged in poor-law infirmaries
who are exempt from the provisions of the Act. In Edmonton there were 21
practising at the beginning of 1914 and 15 at the end of that year.
2 midwives were removed from the midwives' roll by the Central Midwives
Board, and 13 were cautioned by letter and 15 verbally. During that year no
uncertified women were prosecuted by the County Council for acting as midwives,
but cautionary letters were sent to 3 of them, and 1 was verbally
cautioned.
OPHTHALMIA NEONATORUM.
This disease was made compulsory notifiable by Regulations which came
into force on the 1st April, 1914.
There were 11 cases notified during 1915 by 14 notifications, of whom 1
notified to me from the Edmonton Infirmary belonged to another district.
1 baby died of an intercurrent disease.
I case was doubly notified, i.e., by doctor and midwife, and 1 by two
doctors and a midwife. Of the single notifications, 9 were from doctors and 2
from midvives. 7 out of 10 were in Bury Street Ward.
ERYSIPELAS.
79 cases were notified, compared with 77 the previous year, besides 4
Belgians and 14 " foreigners," occurring in the Edmonton Union Infirmary.
There were 4 deaths from this cause, 3 of them being " foreigners." 1 case
was a child under 1 year old. 1 case was doubly notified.
II cases occurred amongst people who were living in our district outside
the Union Infirmary, and yet unable to provide proper attention for themselves.
As the agreement with the Guardians had been renewed, my Council received
remuneration for the nurses provided for those unfortunate persons on and
after May 6th.
The cases were most numerous in the first quarter of 1915.
PHTHISIS AND OTHER TUBERCULOUS DISEASES.
The deaths from phthisis numbered 73 (excluding 4 Belgians), as compared
with 74, 72 and 60 during 1914-13-12. The death-rate from the disease is