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220 of these cases were removed to the Isolation Hospital.
The following is a succinct account of the difierent infectious
diseases requiring action by your sanitary officials during the year.
My practice is to request the Sanitary Inspector to visit each house as
soon as I receive notification of the existence of infectious disease
there, visiting myself subsequently all those cases which I consider
require my doing so.
Small Pox.—Two cases of this disease were notified. Both
occurred at I'agenham. Both, in the course of their avocation, went
within the infective zone of the "West Ham Small Pox Hospital,
which is situated in the neighbourhood.
Scarlet Fever.—146 cases were notified, the large number
occurring in the Parish of Dagenham. Many of these cases were
traceable to School infection. Twenty-two cases occurred in, and in
the neighbourhood of, Upminster Here, also, School infection was
the chief factor, at first, in spreading the disease ; afterward careless
intermixing of dwellers in infected and non-infected houses, helped to
spread the disease.
Enteric Fever was not very prevalent, 12 cases having been
notified during the year.
Diphtheria, which was very prevalent in and around the village
of Rainham during the previous year, did not cease until about April,
since when this locality has been free from this disease. 99 cases
came from Dagenham, 22 from Upminster and neighbourhood.