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with whom they do not habitually come in contact, as for
example at children's parties, etc.
Simple hygienic precautions any be taken to prevent the
soroad. of infection; for a cold, paper handkerchiefs may be
used and afterwards burnt, or linen handkerchiefs may be
soaked in a solution of izal, lysol or dettol and then boiled;
after using the lavatory a child's hands should be thoroughly
was ed, Every effort should be made to keep down flies by the
use of powder or spraying fluid containing pyrethrum or D.D.T.
If a child develops a rise of temperature or complains of
headache or stiffness or pains in the neck or back, he should
at once be put to bed and a doctor consulted.
It was believed there might he some connection between
the effects of operation for .the removal of tonsils and adenoids
and the extraction of teeth, so during the period of the
epidemic and for sane time after wards, these activities were
suspended. Intensive efforts were made to try to trace the
source of infection as each case occurred. Here and there
information received seemed to point to a likely source, but no
definite conclusions could be drawn.

Puerperal Pyrexia.
Thirteen cases of puerperal pyrexia were notified, as
compared with fourteen for the previous year, flight cases were
treated in hospital.
Cerebro-spinal Fever.
There wore two cases of cerebro-spinal fever notified
during 1947, the same number as in the previous year. Both cases
were treated in hospital. One death was recorded from this
disease.
Measles and Whooping Cough.
During the year, 607 cases of measles were notified, as
compared with 343 for the previous year. The peak period was the
months of February and March, when 212 and 139 cases were
notified. Thirty-three cases wore admitted to hospital. There
wore two deaths, giving a death rate of 0.022 per 1,000 of
population. The death rate for England and Wales was 0.01 per
1,000 of population.
The number of cases of Whooping cough notified - 226
showed an increase of' 139 on the previous year, Thirty cases
-39-