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36
antitoxin, has not been adopted in Bromley. Although our
incidence rate is so low, I believe all residential schools
should carry out this routine, and I trust that the Department
will shortly have an opportunity of carrying out this
very desirable preventive step.
Influenza and Primary Pneumonia.
Notification of these notifiable infections has been given
by the general practitioners in every case attended by them.
In all there were 36 cases notified, an incidence rate of 1 per
1,000 population. This is the lowest rate for any of the past
five years, and indicates a comparative freedom of acute
respiratory infection.
For the five years ending 1925, 305 notifications of pneumonia
have been received, of whom 125 died. This gives an
incidence rate of 1.9 per 1,000 population, and a case
mortality of 41 per cent.
Puerperal Fever.
One case of puerperal fever was notified and died shortly
after admission to the infirmary. Present arrangements of
isolation and treatment of these cases is through the Isolation
Hospital, Sevenoaks.
Cerebro-Spinal Fever.
Three cases were notified during 1925, bringing the total
of the past five years to 7.
One case was notified after death, and the other two
died shortly after admission to the Isolation Hospital. All
three were sporadic cases, no secondary cases arising, and
in no case was the diagnosis verified by cerebro-spinal fluid
examination.