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Three cases of Erysipelas, .57 per 1,000 of the estimated population,
were reported during the year.
The epidemic of Diphtheria, which existed during the year, was prevalent
throughout the country.
E.—PREVALENCE AND CONTROL OVER TUBERCULOSIS.
(a.) In all primary notifications of Tuberculosis the patients are visited
and oral and printed instructions as to self preservation and prevention of the
infection of others are given. Spitting mugs are provided by the Council.
(b.) As the arrangements for the treatment of oases of Pulmonary
Tuberculosis are under the management of the Tuberculosis Department of the
Middlesex County Council, subsequent visits are not paid by the Medical Officer
of Health, unless requested by the Tuberculosis Officer of that Authority.
(c.) The arrangements for the detection of unrecognised cases of
Tuberculosis associated with notified cases of the disease are under the direction
of the Tuberculosis Officer of the Middlesex County Council.
(d.) The arrangements made for utilizing the services of the Tuberculosis
Officer or Nurses are as in (c.).
(e.) Disinfection is performed when necessary by the Officers of the
Hayes Council. The arrangements made by the County Council of Middlesex
for the visitation and treatment of cases of Pulmonary Tuberculosis (sanitorium
and domiciliary) are working satisfactorily, and, I am of opinion, will in the
future tend to produce a considerable diminution iu the number of cases of
this dire malady.
F.—INVESTIGATION OF OTHER DISEASES.
Owing to the nature of the subsoil Rheumatism in all its forms has
been very prevalent.
I am still of opinion there has been considerable neglect on the part of
some of the occupiers of land in allowing the ditches and watercourses to
become silted up; many of the ditches by the sides of the roads are not
properly attended to. This is, perhaps, due to a shortage of labour, but it
must contribute to the land becoming waterlogged and to increased dampness
in dwellings, a fertile cause of Rheumatism and Tuberculosis.