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25
As reported last year, we have no Small-Pox Hospital, but
rely on an arrangement with the M.A.B. whereby they receive our
cases on payment of 8s. per day, with the addition of the actual
out-of-pocket expenses incurred by the Board for funerals,
clothing on discharge, and use of the Board's ambulance service.
The arrangement to be terminable at short notice.
This latter paragraph is not very satisfactory, as in case of
an epidemic in which we, in common with London, might become
involved, we might be cast off to shift for ourselves at a time when
it might be too late to do anything effectual.
ENTERIC FEVER.
Twenty-five cases were notified, and four deaths occurred, a
case mortality of 16 per cent. Twenty-four cases were notified
last year, with three deaths. As to the causes, six occurred in one
family, the first case of which originated in a neighbouring district.
The mother, on being taken ill, sent the children to a relative
in our district. Three of the children immeditely developed
the disease. The others were affected some time after, i.e., suspiciously
soon after a convalescent case returned from the Infirmary.
This carrier case also dwelt in another district, and notice of our
notification, together with the suggested origin, was sent to the
Medical Officer of Health.
Oysters and mussels respectively were credited with causing
two cases, no evidence was forthcoming in ten cases, four
originated in the West Ham Union Infirmary, two cases were