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Of the 52 notified cases, 5 were young children under school
age, 37 were of school age (26 attending puplic elementary schools,
and 11 attending private schools), and 10 were above school age.
The incidence-rate (cases per 1,000 of the population) for Barnes
was 1.27, the rate for London being 2.05, and that for England and
Wales being 2.41.
No death occurred from this disease during the year. The
death-rate for London and for England and Wales was 0.01 per 1,000
of the population.
The preventive measures taken in previous years were continued
in 1938 (an account of these was given in my Report for 1930, page 60).

Use has not been made of the Dick test.
Measles.
This disease becomes epidemic in this district every second year.
During 1937 there were 101 cases of measles and 9 cases of german
measles notified ; the year 1938 was an epidemic year and 387 cases of
measles and 439 cases of german measles were notified.
As has been the practice in past years all the cases notified were
home-visited, a total of 1,186 home-visits being made by the Health
Visitors with the object of lessening as far as possible the spread of
the disease and of securing that appropriate medical attention was
obtained. Cases which were very acute, or in which serious complications
has supervened and which were likely to end fatally, and other
cases occurring in homes in which the necessary care and nursing
attention for the patients could not possibly be provided at home were
admitted to the Borough's Isolation Hospital. Ten patients were
admitted for one or other of the above-mentioned reasons.
Only one death occurred from measles. This patient was a child
aged 4 years, who was admitted to the Borough Isolation Hospital
and died shortly after admission. The cause of death was due to
pneumonia as a complication.