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improper feeding of young children, and in some instances
undoubtedly affected by faulty sanitary condition of
dwellings. Thirty-three deaths were caused by Diarrhœa,
a number something like three times the number in
average years from that disease. I personally investigated
most of these cases, and in a few instances, where, owing
to faulty traps, &c., sanitary defects existed, these were
remedied by my calling in the assistance of the Sanitary
Inspector. In other cases 1 had no doubt of the disease
being caused by the escape of sewer gas through unflushed
closet pans.
Summary of Action taken during the Year for
preventing the spread of disease:—

It will be noticed that the number of cases of infectious
diseases notified shows a satisfactory diminution. To some
extent this may, I hope, be accounted for by your having
made arrangements with the Ilford Urban Council to
receive in their Isolation Hospital at Chadwell Heath any
cases from this district. Cases have been so removed and in
several instances (especially in Scarlet Fever), members of a