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2
knowledge as a result of the system of notification by the
teachers from the public elementary schools.
This table shows the number of cases notified from the
respective schools and the number of cases which upon enquiry
were found to be suffering from the diseases in question.
In yet another table the total number of such cases
coming to knowledge is set out.
From these tables a very fair idea of the prevalence of these
diseases in the district will be obtained, while the extent to
which particular schools are invaded can be seen.
I regret to have to report a very considerable outbreak of
Whooping Cough in the district. Knowledge was obtained of
no fewer than 624 cases during the quarter but these do not
represent nearly all the cases as many of them were first
brought to light through the death returns. There were fifty
deaths ascribed to this disease during the 13 weeks reported
on and many of the deaths ascribed to Bronchitis and
Pneumonia unquestionably were due primarily to Whooping
Cough. As I have explained in previous reports this is
accounted for by the fact that no medical man is called to see
the patient until death is imminent from the complications to
which the Whooping Cough gave rise. These complications
are chiefly Bronchitis aad Pneumonia, and several deaths
returned as due to these causes were known to me to be
suffering from Whooping Cough, prior to the onset of the
complications on account of which a doctor was called.