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APPENDIX.
1. Health Publicity.
As hitherto, an attempt has been made by means of talks,
distribution of pamphlets, articles in the Press, local edition of
"Better Health," etc., to carry out a continuous policy of Health
Propaganda in the district. Bearing this in mind, it was not considered
necessary to hold a Health Week in Southgate during 1934.
2. Insulin.
The supply of free Insulin was extended during the year and
four patients are now receiving such a supply from the Council, the
daily amount varying in each case from 30 to 60 units. As before,
progress reports obtained from the private practitioner or from the
Hospital dealing with the case are transmitted quarterly to the
Ministry of Health.
3. Report on the Treatment of Scarlet Fever Cases, submitted
to the Public Health Committee, November, 1934.
"I would like to bring the above matter to the attention of the
Committee as it is one of no little epidemiological importance.
While it largely involves the question of detention of patients in
Hospital and might therefore be presumed to come within the
purview of the Hospital Sub-Committee, the matter is really of
wider significance, inasmuch as the whole outlook on Scarlet Fever
as it affects Southgate requires to be reviewed.
"At the present moment there are three schools of thought
regarding the treatment of scarlet fever. Very briefly, the opinions
held are as follows :—
(1) That scarlet fever is of so mild a type nowadays that
the vast majority of cases can be safely left at home, with or
without domiciliary supervision.
(2) That scarlet fever, while usually mild, occasionally
brings in its train such disastrous consequences that hospital
treatment is called for in most cases, which treatment and
isolation should be carried out for a period of 4-5 weeks in simple,
uncomplicated cases.
(3) That the complications of scarlet fever may be so serious
that every case should have anti-scarlatinal serum injected to
prevent their onset; and that if such is done isolation in hospital
should not, in ordinary cases, be for a longer period than three
weeks.
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