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101
average, were all from typhoid or enteric form of
fever.
The deaths from continued fevers in all London were
598, equal to a rate of 0.13 per 1,000, which was slightly
below the decennial average.
In July a letter was received from the London County
Council enquiring whether the Board would be in favour of
powers being conferred upon them to establish a laboratory
or make such other arrangements as would enable Medical
Officers of Health and Medical Practitioners to obtain at
the expense of the County an examination of pathological
matter by competent bacteriologists. This communication
was referred to the Sanitary Committee, who considered
the same and recommended the Board "that having regard
to the importance of providing facilities for dealing with
cases of infectious disease, the Board should in all
doubtful cases of diagnosis, where approved by the Medical
Officer of Health, incur the expense of a bacteriological examination
of material from suspicious cases of infectious
disease." Upon this recommendation being adopted
negotiations were entered into with the Conjoint Board of
the Royal College of Physicians and Surgeons, who undertook
to make the necessary examinations; and a communication
was forwarded to the London County Council,
that in the opinion of the Board it was unnecessary for the
powers suggested in their letter to be conferred upon them.
The following Regulations and Suggestions were drawn
up and forwarded to the Medical Practitioners throughout
the District:—