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20
Erysipelas.
41 cases were notified, of which 12 were treated in hospital.
There were 4 deaths from the disease.
Puerperal Fever.
Five cases were notified during the year. All were treated
in various hospitals outside the Borough, with two deaths. Three
cases were notified as suffering from Puerperal Pyrexia, but recovered
without complications.
Cerebro-Spinal Meningitis.
Only one case was notified, that of a child under one year of
age, but three deaths were registered as due to this disease—the
deaths taking place in institutions, but not notified.
Encephalitis Lethargica.
One case notified—no deaths registered from the disease.
Pneumonia.
70 cases of Pneumonia were notified, of which 28 were removed
to Whipps Cross Hospital, or other general hospitals, but
there were 111 deaths registered as due to the disease, the majority
being a complication of Influenza.
Preventive Methods Undertaken to Control the Spread
of Infectious Disease.
On receipt of the notification of a case the patient is at once
removed to Hospital, if this is desired or necessary, and the room
previously occupied and its contents are disinfected. Library
books, if present, are removed for disinfection. Whether the
patient be removed to Hospital or not, the Sanitary Inspector at
once calls and obtains all particulars of the case and endeavours to
trace the source of infection. He also leaves a printed form
giving full instructions as to isolation, etc., and the precautions
which should be adopted to prevent the spread of infection. Information
is obtained as to the Day and Sunday schools attended,
either by the patient or by children in the house, the school
authorities are notified, and all children living in the house are for
a time excluded. The source of the milk supply, the occupation
of the inmates, home work, sanitary condition of the premises,
water supply, presence of animals, etc., are all investigated, and