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compared with 139 in 1927 ; 73 in 1926; 103 in 1925; and 96 in
1924.
(h) Encephalitis Lethargica.—One case was notified during
the year. He was a man of 21 years of age, and made a satisfactory
recovery after being admitted to the National Hospital, Queen's
Square.
(i) Plague.—Four persons were reported to have been in contact
with cases of Plague on board ship. The contacts were visited and
kept under observation for the usual period.
(j) Puerperal Fever.—There were 9 cases of this disease notified
during the year.
Three of these were treated at the London Hospital, one at the
M.A.B. North Western Hospital, one at the Emergency Hospital,
one at the Isolation Hospital, one at home, and two at the Romford
Infirmary. One of the latter died, all the others made a satisfactory
recovery. They were of varying degrees of severity.
In addition to the above, one case of a Dagenham resident
occurred in a private Ilford Maternity Home. She was removed to
the London Hospital and eventually recovered.
(k) Puerperal Pyrexia.—Nine notifications were received. Four
of these were subsequently notified as cases of Puerperal Fever. Of
the remaining five, one was a case of Influenza, two were cases of
Pyelonephritis, one was due to burns, the other was probably due to
haemorrhage.
Mr. Everard Williams, Consultant Obstetrician, was called in
consultation in one instance, and on 2 occasions I was called in consultation
with local practitioners.
2. Zymotic Diseases:—The deaths registered were as
follows :—
Small-pox —
Measles 5
Scarlet Fever 2
Whooping Cough 7
Diphtheria and Croup 8
Enteric Fever —
Diarrhoea 10
This gives a zymotic death-rate for 1928 of .29 per 1,000 of
the net population.
The zymotic death-rate for the previous five years was .29 in
1927, .36 in 1926, .25 in 1925, .24 in 1924, and .26 in 1923.