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34
Of the 17 measles deaths, 1 occurred in the Willesden Infirmary, and 16 at home.
Influenza.—Twenty-seven deaths from influenza were recorded in 1920 as against 114 in
the previous year. These deaths occurred as follows, throughout the year:—
Month. No. of Deaths.
January 1
February 3
March 5
April 7
May 3
June 0
July 0
August 1
September 1
October 0
November 5
December 1
Anti-influenza vaccine is supplied to Medical Practitioners on application at the Health
Department.
The followiilg Table No. 23 gives the death rates per 100,000 of the population from certain
infectious diseases in 1920:—

Other diseases which have received special attention during the year should be referred to, e.g.,
locally contracted Anthrax or Rabies.
No case of Anthrax or Rabies was notified to the Medical Officer of Health.
Particulars should be given as to the facilities available in the district for the cleansing and disinfection
of verminous persons and their belongings.
Facilities for the cleansing of verminous expectant and nursing mothers and children up to
14 years of age exist at the two Municipal Clinics, at each of which a properly equipped cleansing
room has been established with a nurse attendant. The Health Visitors visit and inspect and make
arrangements for the disinfection or destruction of belongings as may be necessary.
The Ministry would also be glad to have information as to the extent to which the requirements
as to notification of tuberculosis are observed by medical practitioners, and of any action taken to enforce
the regulations and, secure prompt notification.

1,120 of the total of 4,030 cases of Tuberculosis notified in Willesden since 1909, when notification
began, were living in the area at the end of the year 1920.
It has not been necessary to take any action to enforce the regulations and secure prompt
notification.
Tuberculosis.—The treatment of Tuberculosis is the responsibility of the Middlesex County
Council, therefore this paragraph of the Ministry of Health's memorandum as to contents and arrangement
of the Annual Reports of Medical Officers of Health for 1920 is not dealt with.
Venereal Diseases.
The above work is under the Middlesex County Council, therefore this paragraph of the
Ministry of Health's memorandum as to contents and arrangement of the Annual Reports of Medical
Officers of Health for 1920 is not dealt with.
17,491 children from birth up to 14 years of age came under the observation of the Medical
Officers of the Willesden Council during the year 1920. Of this number, 8 children or .045 per cent.
of cases coming under observation were found showing signs of congenital or acquired syphilis.
In no case under review could a previous history of syphilis on the mother or father's side
be obtained.
Ihe following Table, No. 25, gives details of the 8 cases: