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Your Council has also encouraged the voluntary notification
of zymotic enteritis, or diarrhoea, by undertaking to pay
the usual fees to medical men who notify such cases.
Children absent from school on account of measles and
whooping-cough are notified by the school teacher or attendance
officer. Thus some form of notification is in existence for,
altogether, 19 diseases.
SMALL-POX.
26. Three cases of small-pox were notified, and one died.
The first case was a sailor who was shipwrecked and landed
on the coast of North Africa near Tangier, where he spent
one or two days. It was probably there where he contracted
the disease. He sickened immediately on his return, and had
a severe confluent attack, which, owing to its severity, was
not diagnosed by the doctor who first saw him. On the
sixth day of illness another doctor was called in, who asked
me to see the case, and small-pox was diagnosed and the
patient at once removed to the hospital. Nine persons were
found to have been exposed to infection, two of whom had had
small-pox, and five were protected by re-vaccination. The
other two refused re-vaccination, and caught the disease in
a mild form. They were kept under daily observation and
removed to hospital on the occurrence of the first definite
symptoms.
27. The number of cases of small-pox notified in London
was 4.
CHICKEN-POX.
28. 385 cases of varicella were notified by school teachers,
compared with 243, 327, and 232, in the three preceding years.
83 were under five years, 283 between five and ten, and 19
over ten years.