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and the means to be taken for the prevention of the spread of infection
to others. And where rooms occupied by consumptive persons
have been evacuated by death or otherwise, a visit has been paid by
one of the Sanitary officials, and an offer to disinfect free of coat by
the Sanitary Authority has been made, and in every case carried out.
Whooping Cough was very prevalent in all parts of the
District, more or less throughout the year, and was epidemic in
Southgate during November and December, necessitating the schools
being kept closed an extra week at the end of the Christmas holidays.
There were 5 deaths from this cause in all.
Chicken,Pox was also prevalent in all parts of the District,
more especially in New Southgate, Palmers Green and Bowes, during
the middle portion of the year.
Owing to the general prevalence of Small-pox also about London,
Chicken-pox was made notifiable in the District in common with
other Districts about London, from February 22nd to September 21st,
owing to the similarity that exists between Chicken-pox and some
cases of modified Small-pox, and the difficulty that sometimes arises
in distinguishing between the two.
But in no instance, as far as 1 am awrare, did this notification of
Chicken-pox lead to the discovery of any unsuspected case of Smallpox
in this District.
Isolation Hospital. —This Hospital, situated at Tile Kiln
Lane, Palmers Green, was formally opened on January 4th. It
consists of a Scarlet Fever block of two wards, and half an isolation
block of two wards, and was designed to accommodate 10 beds and 2
cots in the Scarlet Fever Wards, and 4 beds, and 2 cots in the
isolation block, but I find that there is ample room, if necessary,
to put up 4 extra beds in the Scarlet Fever block, and 2 in the
isolation block, and still maintain the proper amount of air space per
bed. There is also an administrative block, a laundry, and disinfecting
block, with mortuary attached, and a porter's lodge.
Owing to the fact that only half the isolation block has been
built at present I am sometimes prevented from taking in cases
that I otherwise should do because if I have one patient of each
sex suffering from the same disease at the same time there I am unable
to take in any case of any other disease. For instance, if I have two
cases of Typhoid Fever, one of each sex, I am unable to take in any