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treatment, and offering suggestions to Local Authorities
on the stimulation of public opinion as to the necessity of
early application for medical advice.
Circular 437—Importance of early reporting cases of suspected
Plague or Cholera, with instructions as to bacteriological
investigations.
Circular 446—Postponing till 1st November the operation of
the Public Health (Condensed Milk) Regulations.
The Annual Report of the Chief Medical Officer of the
Ministry of Health for the year 1922.
Report by Dr. Janet Campbell on the Training of Midwives.
Report on the use of Hydrocyanic Acid for fumigation purposes.
Report on outbreak of Dysentery at Lynton spread through
the agency of Milk traced to an active carrier of the disease.
Circulars 356 and 356a—Explaining procedure in respect of
the granting of Licences to sell Milk under special designations.
Circular 358—New Scale of Fees payable to Doctors called in
by Midwives, as from 1st January, 1923.
In addition to the above, several lists of Institutions, with
rates of charges for maintenance approved under the Tuberculosis
Scheme and Lists of approved Salvarsan substitutes for
treatment of venereal diseases were circulated by the Ministry,
as well as Statutory Rules and Orders under the National Health
Insurance Acts.
Plaistow Hospital.
Annual Report for 1923.
The year 1923 proved a mild one as regards the number
and average severity of the cases admitted to the Hospital.
The total admissions were 89 less than in the previous year,
and the total deaths were 43 as compared with 63 in 1922. The
fatality rate, calculated on all the cases admitted, was 3.6 per
cent. The decrease in the number of admissions was due to
the diminished prevalence of Scarlet Fever, the admissions from
this disease being 273 less than in the previous year. Cases of