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58
(k) Heart Disease.
Twelve cases were referred for treatment and 84 for
observation. Many of these cases referred for observation
are very mild cases presenting only a heart murmur which
may have little significance, but it is important that they
should be kept under observation in case more serious
symptoms should supervene. Sixteen cases showed
definite improvement.
(1) AnæMIA.
Eighteen cases were referred for treatment, 8 were
remedied, and 1 improved.
(m) Lungs (not including Tuberculosis).
Two cases were referred for treatment and 17 for
observation. 6 showed definite improvement.
(n) Mental Defect.
Three cases were discovered during the year. One is
attending the infant department of an ordinary elementary
school. The other 2 are not at school. One of the latter
is a cripple owing to infantile paralysis.
INFECTIOUS DISEASES.
Mumps, Chicken-Pox, and Whooping Cough prevailed
to a considerable extent during the year but no serious
epidemics of these diseases occurred and no special measures
were necessary.
The incidence of Scarlet Fever in the district throughout
the year was rather high but there was no severe epidemic.
No particular school was specially involved and there was
nothing to indicate that infection took place in the schools.
Scarlet Fever was very prevalent in London throughout the
year.
The District was never quite free from Diphtheria during
the year but the number of cases was very moderate until the
middle of December, when a rather serious epidemic began.
It continued into the year 1922 and may be said to have
lasted for about 8 weeks, from 11th December, 1921 to 4th
February, 1922. Although the period covered falls partly in
the vear 1922 it will be convenient to deal with the whole
epidemic in this Report.