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occurred in the latter half of the year. The letter asked every M.O.H. to at
once forward to the Local Government Board any particulars of any person
in his area bitten by a presumably mad dog, with a view to the treatment at
Plymouth. On April 29th I received another revision of the memorandum
providing treatment at St. Thomas's Hospital in London.
The expenses of persons bitten may be paid by the Local Authority.
On June 24th a third memorandum was issued by the Local Government
Board on the procedure recommended to be followed in the event of persons
being bitten by dogs suspected or ascertained to be rabid, showing that treatment
was now available also at Newcastle, Cardiff and Manchester.
Respiratory Diseases, including bronchitis, pneumonia, pleurisy, and
other non-tuberculous diseases of the respiratory system, gave rise to 46 less
deaths than in 1918. The number was 114, giving a death-rate of 1.51 per
1,000, compared with 160 and a death-rate of 2.14 for the latter year. Some
deaths, certified as due to pneumonia in the last quarter, had influenza as the
primary cause.
Cancer.—Sixty-five deaths of Edmonton residents were certified as being
due to cancer, and this is equivalent to a death-rate of 0.86. compared with
0.7 last year. The deaths during 1918-17-16 were 52, 49 and 55.