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SCARLET FETOR.
This disease continued to occur throughout the year in a mild form, but
here again I an pleased to report a still lower incidence than last year, 111
cases against 182. There were no deaths.
SMALLPOX.
No. cases of smallpox were notified during the year.
ENTERIC FEVER.
During June and July there was a miner outbreak of this disease, but
despite extensive investigation we were unable to trace the source of infection.
There were no deaths
In November we were informed that an Edmonton patient, who was a typhoid
carrier, had discharged himself from Hospital, and further that he was employed
as a neat porter. In the circumstances a Notice was served on him under the
Public Health (Infectious Diseases) Regulations, 1927 excluding him from
employment in such trade or business concerned with the preparation or handling
of food or drink for human consumption for a period of 12 months, in the first
instance. A Notice to this effect was also served on his employer.
DYSENTERY.
No cases of this disease were notified during the year.
CEREBRO-SPINAL FE7ER,
A slight rise in the incidence of this disease occurred during 1940. The
cases were carefully investigated, and precautions taken to prevent the spread
of infection. No deaths took place.
POLIOMYELITIS.
Three cases were notified during the year, but there were no deaths.
IMMUNISATION AGAINST DIPHTHERIA.
As reported last year the outbreak of war caused a temporary suspension of
this scheme. The Clinic was re-opened in March of this year.
During the year some 460 children wore immunised, this was a fairly
satisfactory response considering the circumstances prevailing during the latter
half of the year. However I feel confident that with mere extensive propaganda
and more settled times, the response will be much greater.
PUERPERAL PYREXIA AND OPHTHALMIA NEONATORUM
These are referred to later on under the heading of Maternity and Child
Welfare.
FOOD POISONING
Only 1 case was reported - a non-resident inpatient at the N.Mddx.C.Hosp.
PNEUMONIA
The number of cases of primary and influenzal pneumonia notified remains
about the same . There was a slight increase in the number of deaths from
all forms of pneumonia.
BIARRHOEA AND ENTERITIS UNDER 8 YEARS OF AGE
The death-rate per 1,000 live births for London as a whole was 5.8 whilst
that for Edmonton was 2.12 as compared with 8.2 and 1.23 respectively last year.
The following table gives the age incidence etc., of those suffering from
notifiable diseases, excluding tuberculosis, which is dealt with separately.
It must be noted that the figures in the second column as being removed
to hospital includes those already under treatment at a hospital - for instance
the North Middlesex County Hospital.
This remark applies more particularly to the infections associated with
parturition and include puerperal pyrexia and ophthalmia neonatorum.