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48
This is the largest number of cases notified for years.
The definition of these cases is difficult, but if there is any
doubt, it seems to me better to notify as it enables some
supervision to be exercised over the midwife or nurse.
POLIOMYELITIS.
One case was notified during the year, but on investigation
was found to be a case of Bell's paralysis. The
notification came from a London Hospital.
PHTHISIS.
In all, 173 cases of Pulmonary Tuberculosis have been
notified during 1912.
Seventy-eight cases were notified during 1911.
Six of the cases notified during 1912 belonged to Claybury
Asylum.
Thirty-one of the cases notified during 1912 belonged to
Village Homes.
Seventy-three notifications were received from various
sources of cases of Phthisis previously notified.
Of the cases notified as actually belonging to the
district during-1912, 25 have terminated fatally, so far as
information supplied to me shows.
Of the cases notified previous to 1912, eleven have died
during 1912.
Thirty-seven houses have been disinfected after Phthisis.
Towards the end of the year the National Insurance
Act came into force and a Tuberculosis officer was appointed
by the County. Accommodation was temporarily provided
at the Public Health Department and attendance was given
on Monday afternoons. So much of the work is only provisional
in character at present that it is not possible to