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This is the greatest number of cases notified since the above records were kept in 1892, and
the highest incidence rate. It is satisfactory to note that the fatality rate of 62, although higher
than last year, was not a high one.
The disease was not confined to Willesden or any particular area, but was general throughout
the country.
The notifications were high throughout the year, and increased in October to the end of the
year, the increase being co-incident with the increase in Scarlet Fever notifications.
With respect to the supply and use of Diphtheria anti-toxin, vide Annual Health Report, 1919,
pp. 36-37.
A special report on the epidemics of Scarlet Fever and Diphtheria in Willesden in 1920 appears
in Appendix O.
Enteric Fiver.—During the year, 22 cases were notified; 16 of these were removed to the
Willesden Municipal Hospital, 1 to St. Thomas's Hospital, 1 to St. Mary's Hospital and 1 to the
Willesden Infirmary, whilst 3 were nursed at home. The incidence rate per 1,000 of the population
is 013. Five of the 16 cases removed to the Willesden Municipal Hospital proved not to be Enteric
Fever. The diagnosis in these cases was as follows:—
Ptomaine Poisoning 1
Appendicular Colic 1
Debilitated 1
Pyonephrosis 1 (proved fatal)
Tubercular Meningitis 1 (proved fatal)
There were no deaths from Enteric Fever.
Continued Fever.—Three cases were notified. Two were removed to the Municipal Hospital,
one being diagnosed as Cephalgia and one as Bronchitis. Both recovered. The third case was
removed to the Willesden Infirmary, and was diagnosed as Puerperal Fever and recovered.
Cerebro-Spinal Meningitis.—Four cases were notified during the year. Two were treated
in the Municipal Hospital, one in Great Ormond Street Homeopathic Hospital, and one in St. Mary's
Hospital.