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corresponding figure of those suffering from non-pulmonary tuberculosis
being 75.
Eighteen deaths occurred amongst those who had not been notified,
though in only one case was a posthumous diagnosis made. Of the 8
deaths which occurred locally one was due to meningitis ; the remaining
7 cases were of pulmonary tuberculosis which had not been notified
apparently as a result of a misunderstanding. Of the 6 deaths caused
by pulmonary disease which occurred outside the district, two were in
sanatoria, one in a London Hospital, and three in hospitals in other
districts. Of the 4 non-pulmonary cases, two were meningitis, and one
was miliary tuberculosis, diagnosed post-mortem.
MATERNITY AND CHILD WELFARE.
REGISTRATION AND NOTIFICATION OF BIRTHS.
The total number of live births registered during the year was
3,473; 1,767 male and 1,706 female.
Of these 159 were illegitimate, being a percentage of total births
of 4.6.
2,332 births occurred in the district (2,296 live and 36 still births).
Of this number 458 (447 live and 11 still births) were to residents of
other districts. Of the local confinements 2,215 were notified by midwives
and 117 by doctors or parents.
1,477 (1,434 live and 43 still births) notifications were transferred
from other districts, being mostly of births occurring to Harrow mothers
in, Middlesex County Council or in London Hospitals.
STILL BIRTHS.
40 male and 37 female still births were registered, being a rate
per thousand population of 0.41 compared with the figure of 0.50 for
the country as a whole.
Of the 51 cases about which any particulars have been obtained
4 were dead before the onset of a premature labour. In 16 others the
baby was apparently alive at the onset of a premature labour. In 6
of these the infant was deformed, in 4 the pregnancy was multiple,
in 3 labour followed an ante-partum haemorrhage, in 2 there had been
some degree of toxaemia of pregnancy while in one case labour was
surgically induced.
In 4 instances death had occurred some time before the onset of
labour at full term. In 2 of these there was malformation and in one
hydramnios.
In most cases the infant was alive at the onset of labour at term.
In 11 cases there was definite difficulty in delivery arising from some
such condition as impacted shoulders, transverse presentation, small
pelvis, etc. Toxaemia was present in 5 cases, while in 3 there was
abnormal development. Prolapse of the cord or the cord round the
neck was the ascribed cause of death in 3 cases, and haemorrhage in
one. In 9 cases, though, no explanation for the occurrence of the death
could be obtained.