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Active steps were taken to deal with the outbreak. Notified
cases (with one or two exceptions) were immediately removed
to the fever hospital. Contacts were examined and those in
close association were bacteriologically examined by a Medical
Officer of the L.C.C. Several doubtful cases were seen by
the Medical Officer of Health on request of the medical
attendant and when the former had any doubt as to the
diagnosis a bacteriological examination was made.
The measures taken in the Garrison included steps to
enforce the maintenance of thorough ventilation in barracks
and huts and to this is attributed the rapid disappearance of
the outbreak among soldiers.
ANTERIOR POLIO.MYELITIS.
53. This disease, commonly known as infantile paralysis,
was made compulsorily notifiable in 1911, by an Order of the
London County Council under Section 55, Public Health
(London) Act. 2 cases were notified in 1915. There were
no deaths.
3 cases were notified in 1911, 3 in 1912, nil in 1913, and
nil in 1914.
It is interesting to note that the Woolwich Invalid Children's
Association dealt with 52 cases of infantile paralysis last year.
Evidently all the cases that occur are not notified.
PUERPERAL FEVER.
54. There were 6 cases of puerperal fever notified, compared
with 7, 16, 2, 8, and 7, in the five preceding years.
There were 3 deaths. The case.rate per 1,000 births was
2.14, compared with 2.78 and 2.50 in the two preceding years.
The death.rate was 1.07, compared with l.05, 0.36, and l.05
in the three foregoing years. The London case.rate and
death.rate per 1,000 births were 3.57 and 1.67 respectively.