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methods to be adopted to check their spreading to other children,
and how to avoid, or minimise as much as possible, the
dangerous complications that may arise. Whenever a case of
Measles or Whooping Cough becomes known to me copies
of these handbills are left at the house and also at all neighbouring
houses.
Now as those chiefly attacked by these complaints
are children, it is confidently hoped by this system—which
aims at just that class whose parents often do not call in a
doctor, regarding Measles and Whooping Cough as trivial
and unavoidable complaints of childhood, and do not take
sufficient care to check their spread to other children or to
guard against the complications that may arise—to considerably
check the spread of these diseases and the
mortality resulting from them.
Small Pox.—No cases were notified.
Scarlet Fever.—There were 35 cases notified from
28 houses—18 from New Southgate, 12 from Bowes, 3
from Southgate, and 2 from Winchmore Hill. Two of the
cases were directly imported. The general type of the
disease was very mild, and no deaths occurred.
Diphtheria.—There were 26 cases notified from
18 houses—16 from Bowes, 7 from Southgate, and 3 from
New Southgate. The type of this disease also was
generally mild, but caused 1 death. In 9—i.e., one-half —
of the infected houses sanitary defects were found. Two
of the cases were imported. The 16 cases from Bowes
were not confined to any one street or group of houses,
and had no apparent connection or common cause. Four
of the cases were from one house.
Typhoid Fever.—There were 10 cases notified from
10 houses—4 from Bowes, 3 from Winchmore Hill, 2 from
New Southgate and 1 from Southgate. There were 3
deaths. In two of the infected houses sanitary defects
were found. Four of the 10 cases were clearly imported,
and in one case the infection was traced to the eating of
oysters.
Puerperal Fever.—There was only 1 case notified.
The patient was attended by a midwife, and the case ended
fatally. The house was subsequently disinfected, and the