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the patient upon his return from hospital, who recollected occasions on which he had
handled both the Russian and Chinese, which rendered the transmission of the
bacilli from the one class of bristles to the other perfectly easy.
The case was reported to the Authorities of the Ministry of Health and Home
Office, and the necessary steps were taken as regards disinfection. The patient,
notwithstanding the time elapsing, some six days, before the recognised treatment
was commenced, made a good recovery.
Altogether there were nine cases of anthrax notified in London during the year.
PNEUMONIA, MALARIA AND DYSENTERY.
The cases certified under the Regulations of 1919 were 332 of acute primary
pneumonia, 47 of acute influenzal pneumonia, and 2 of malaria. No cases of
dysentery were certified.
Of the cases of pneumonia investigated, 256 were treated in St. Leonards'
Hospital, 10 in other hospitals, 70 were nursed at home by relatives without and 40
with the assistance of the District Nursing Association. It may also be mentioned
that some 34 other cases of pneumonia which were not notified were nursed through
the District Nursing Association. In 27 of the cases enquired into, 7 of influenzal
pneumonia, there was evidence of infection from previous cases. In 219 the dwellings
occupied were satisfactory with respect to air space, light and ventilation, in 67 they
were fair, and in 90 they were unsatisfactory.
INFECTIOUS DISEASES AND SCHOOLS.
The numbers of children belonging to Shoreditch who were suffering from
infectious diseases, or were resident in houses in which infectious diseases existed,
concerning whom intimations of exclusion from school were received from head
teachers in accordance with the requirements of the school management code of the
London County Council, were as follows :—4 for small pox, 597 for diphtheria, 543 for
scarlet fever, 1,539 measles, 274 chicken-pox, 371 whooping cough, 77 mumps, and
922 for other infectious ailments. The exclusions altogether numbered 4,327 and
related to 37 schools.
On account of the occurrence of cases of measles amongst those attending,
children under five years who had not had measles were, by order of the School
Medical Officer, excluded from class-rooms of the infants' departments at Catherine
Street, Curtain Road, Haggerston Road, Laburnum Street, Maidstone Street, Scawfell
Street, and Wenlock Road schools. Altogether, 169 children were excluded, namely,
31 in February, 119 in March, and 19 in April.
Information was also received from the School Medical Officer respecting 13
children excluded from school by reason of the presence of diphtheria bacilli in their
noses or throats. No cases of diphtheria were subsequently notified in the families
to which they belonged.
B