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caused by this disease. 117 were removed to the Isolation Hospital.
Only in Rainham did the disease assume an epidemic form. Here
the insanitary condition, arising mainly from want of proper
sewerage arrangement, is a most serious oircumstance, and I do not
see how it is to he permanently improved until the provision of a
proper system of sewerage, decided upon last year hy the Council,
and still, I understand, awaiting the sanction of the Local Government
Board, is carried out. Allusion is made to this epidemic in a
subsequent part of this report. Twenty-nine cases were notified from
Hornchurch, many of which being adjacent to Rainham formed part
of the epidemic affecting the locality. Seventeen occurred in the
parish of Dagenham.
Measles prevailed extensively in various parts of the district,
but, as it is not a notifiable disease, I cannot estimate the number of
cases. Seven deaths were caused by this disease. I have no doubt
that this disease becomes so generally epidemic through school
attendance. If the disease were a notifiable one we should have a
ohance (which we have not now) of limiting its extension by seeing
to the exclusion from school of children from infected houses.