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Typhoid Fever.—Ten cases were notified during 1930 as against six in 1929.
Seven of these cases were removed to the Municipal Hospital where 1 was diagnosed as typhoid
fever and recovered, 1 as para typhoid A and recovered, 1 as paratyphoid B and recovered. There
appeared to be no connection between these cases and the source of infection in each instance was
untraced. Of the other four cases removed to the Municipal Hospital, 1 was diagnosed as gastro
enteritis and peritonitis and died, 1 as a severe toxic case of scarlet fever in a woman of 42 years and
died. In 1 case the symptoms suggested tuberculosis of the mediastinal glands and in 1 case tubercular
peritonitis. Both these patients improved and were discharged.
One case occurred in a child who had been admitted to a nursing home on account of tubercular
glands. This was diagnosed as a case of paratyphoid B, was nursed in the nursing home and recovered.
There was a history of the patient having eaten watercress and winkles one to two weeks prior to the
onset of her illness.
One case was nursed in the Willesden General Hospital and recovered.
One case was nursed at home and recovered.
The source of infection in these cases was untraced.
One death from Typhoid Fever was recorded during the year. This occurred in a Willesden
resident who was an inmate of an institution outside Willesden.
Infectious Diseases of the Nervous System, Cerebro-Spinal Meningitis, Poliomyelitis,
Encephalitis Lethargica and Acute Polio-Encephalitis.—15 cases of these diseases were
notified in 1930, 9 proved fatal, giving a fatality rate of 60 per cent, of notified cases.
13 deaths in all were attributed to these diseases. 4 of these related to cases which had
notabeen notified.
Whooping Cough is a notifiable disease in Willesden. 229 cases were notified during the year,
but a total of 359 cases coming to their knowledge were visited by the Health Visitors.
Non-Notifiable Acute Infectious Diseases are reported from the Public Elementary
Schools and are found by the Health Visitors during the course of home visitation.
During 1930, 2,284 cases of measles, which is not notifiable in Willesden, were visited by
the Health Visitors.
Prevalence of Rats or Mosquitos.—Several complaints as to the presence of rats were
received. After verification the complaints were forwarded to the Inspector of Rat Destruction,
Middlesex Count}'Council, who administer The Rats and Mice (Destruction) Act, 1919.
No complaints have been received as to the presence of mosquitos in the district.
MOTHERS AND CHILDREN UNDER FIVE YEARS.
Municipal Centres.—At the Municipal Centres, including the Ringworm Centre, expectant
mothers attended the medical consultations on 3,941 occasions ; nursing mothers, 17,471, and children
under 5, 37,960, making a total of 59,372 attendances.
Out of the total number of 2,859 children born in Willesden during the year, 1,260 or 44 per
cent, subsequently attended the Welfare Centres.
The number of births occurring amongst expectant mothers who attended the Ante-Natal
Clinics was 692 ; 63 per cent, of these mothers with their babies subsequently attended the Welfare
Centres.