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It was not possible to trace where the infection
came from ; the only suggestion is that they contracted
it playing on the river bank, and in one case bathing in
the River Thames.
The attack rate was .06 per 1,000.
Measles.
This was prevalent during the early part of the
year ; 236 cases were notified, and of these 221 occurred
during the first six months, only 15 occurring from July
to December; 145 cases occurred in children of school
age, and 84 in children below that age.
Five children died from Measles a case mortality of
2.11 per cent.
One case was removed to Hospital for treatment.
In 29 cases notification was received only from the
parents of the children ; all other cases were notified by
medical men.
Whooping Cough.
There was little or no whooping cough in the
district before the end of the year when a few cases were
heard of through the Health Visitors and medical men.
Influenza.
This disease had been very prevalent and fatal in
the latter part of 1918 when 69 deaths were recorded
during October, November and December. During the
early months of 1919 another wave of infection swept
over the district, but this was much less severe and fatal.
Twenty-eight cases of Influenzal Pneumonia were
notified during March and April, but none after that.
Seventeen deaths occurred, one in January, 4 in
February, 8 in March, and 4 in April. In 3 cases the
disease was the cause of Bronchon-peumonia, in 1
Appendicitis, in 1 Diarrhoea and Vomiting, in 9
Pneumonia, and in two it caused heart failure.