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78
SECTION F.— PREVALENCE OF, AND CONTROL
OVER, INFECTIOUS AND OTHER DISEASES.
Tables IX., IXa., X. and XI. in the Appendix give
statistical data with reference to notifiable infectious
diseases and tuberculosis occurring in Bromley during
1937. Three hundred and twenty-eight cases were notified,
of which 155 were treated in Hospital.
Scarlet Fever.
There was a definite fall in incidence compared with
the previous year, an attack rate per 1,000 population
being 1.8, compared with 2.4 and 2.97 of the immediate
preceding years. Our rate of 1.8 compares with a rate of
2.09 for the London County Council area. There was one
death, being complicated by an acute appendix.
Of the 104 cases notified, 87 were transferred to
Hospital, 83 per cent. of cases. This compares with
70 per cent. of the previous year, and, in my view,
contrary to the accepted opinion that mild cases of' scarlet
fever should be nursed at home.
Diphtheria.
Forty cases w ere notified, 39 of which were transferred
to the Hospital. These 40 cases gave an incidence rate of
0.68 per 1,000 population compared with 0.40 of the
previous year. The rate in the London County Council
area was 1.93. The main areas of the Borough
affected
were the Town and Plaistow wards. The type of disease
was mild for Diphtheria, but there were two deaths
occurring on the third day of the disease.
The Diphtheria Immunization Clinic continues to he
held each Monday afternoon, and the response of the public
continues good. Tt does not, however, reach the desired
aim that every child should be immunised before entry
into school life.
Puerperal Pyrexia and Puerperal Fever.
Ten cases were notified during the year; six of these
cases occurred at the Maternity Hospital, and I am submitting
herewith extracts of my report to the Health