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Most of these were associated with local sewage nuisance, in
Dagenham, the old condition so often reported; in Corbets Tey, a local
nuisance caused by defects, subsequently remedied.
Typhoid.—Thirty-five cases of Typhoid Fever occurred in the
district as under : —
Dagenham and Beacontree Heath 23
Chadwell Heath 1
Hornchurch 3
Upminster and Cranham 3
Rainham 2
Great Warley 1
Romford (Extra Urban) 2
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It will be seen that a large proportion of these cases occurred in
Dagenham and Beacontree Heath, localities where local nuisances from
sewage pollution are very general. Special reports were made to you
on various occasions on this subject. Some few of these cases were
removed to the Barking or the Ilford Isolation Hospital.
Measles prevailed to a very considerable extent over the whole of
the district, not being a notifiable disease, I am unable to report more
than that it was very generally prevalent. It caused seven deaths.
Luckily the weather was mild during the greater time the disease
prevailed, or the mortality would, undoubtedly, have been very much
greater.
II.—An account of the Sanitary condition of the District generally,
at the end of 1898.
In complying with this section of the Local Government Board's
instructions to Medical Officers of Health I proceed to give, as in
previous years, a short account of the sanitaiy state of the district
under the same heads of localities as are given in the statistical tables.