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37
In November, 1932, a Circular was issued by the Ministry of Health in
which attention was directed to the importance of making provision to safeguard
children against this most serious disease. Although no definite decision
was reached during the year covered by this report, it affords great
satisfaction to be able to record that at the time of writing the Council has
given its approval to the establishment of a Diphtheria Immunization Clinic
in Shoreditch.
Enteric Fever.
Three cases of Typhoid and two of Paratyphoid fever were notified
during the year. Careful enquiries were made in connection with these cases,
but it was not possible to ascertain the source of infection. All made good
recoveries.
Dysentery.
Eight cases of dysentery came to the knowledge of the Department during
the year. One of these, a male 56 years of age, was only diagnosed at
death, which took place in his own home. The remaining seven cases were
notified. Brief particulars of these cases are as follows:—
A male aged 69 years was removed to Hospital on 30th August, was
notified as suffering from dysentery on 17th October, and died on the
following day. Six closely associated cases were notified from two houses
in one street. By the time the diagnosis was confirmed by bacteriological
examination all were well on the way to recovery and removal to hospital
was unnecessary. There were no further cases.
Erysipelas.
The cases certified numbered 39, and there were 7 deaths, 2 males and
5 females. The deaths occurred at the following ages:—
Under 1 year 1
Between 1 and 2 years 1
,, 35 and 45 years 2
,, 55 and 65 ,, 1
,, 75 and 85 ,, 1
Over 85 years 1
The age, seasonal and ward distribution of the cases are included in the
table on page 30.

Twenty-five cases were moved to Hospital, mostly to St. Leonards,
during the course of the year.