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and 7 of other foods, 3 boxes of dates, 41b. of raisins, 17 packets of cornflour,
9 of blanc-mange, and a 61b. box of flour were destroyed as unfit for human
consumption.
The eight bakehouses were inspected and found to be generally
satisfactory. In one case the lighting and ventilation were improved, and
the roof was made weatherproof; four bakehouses were cleansed and two
were repaired at the request of the Sanitary Inspector.
The grocers' shops, fish shops and fried-fish shops were all inspected;
more satisfactory means of storage were provided at a grocer's shop, where
foodstuffs were being stored in an unsuitable stable, and repairs and
cleansing were carried out at five grocers' shops ; a fish shop was enlarged,
the interior of the walls was tiled and a proper sink was provided, and the
sanitary fittings at another fish shop were improved ; at a fried-fish shop
the floor of an outbuilding, in which the fish and potatoes were prepared,
was relaid in cement concrete, the walls were rendered in cement and sand,
and new drainage was provided. On other premises the ventilation of a
room, in which foodstuffs are prepared, was greatly improved.
Sale of Food and Drugs Acts.—The County Medical Officer of Health
informs me that 86 samples of milk and 2 of cream were analysed during
the year, and that 2 samples of milk were found to be adulterated.
(6) Prevalence of and Control oyer Infectious Diseases.
The following Table shows, for each of the past five years, the number of
cases of certain diseases notified in the District, including those among the
staffs, but excluding those among the patients, at the Mental Hospitals
1921. 1922. 1923. 1921. 1925.
Scarlet Fever 65 24 5 8 4
Diphtheria 4 4 11 22 8
Enteric Fever 3 2 1 1 2
Puerperal Fever — 2 — 1 1
Encephalitis Lethargica 1 — — 8 6
Pulmonary Tuberculosis 16 27 13 20 12
Non-pulmonary Tuberculosis 2 4 3 3 5
Ophthalmia Neonatorium 3 1 4 1 3
In the five years, in private houses, 89 cases of Scarlet Fever were
notified in 69 houses, 44 cases of Diphtheria in 39 houses, and 5 cases of
Enteric Fever in 5 houses; 10 cases of Scarlet Fever and 2 of Diphtheria
were notified at the Epsom Infirmary, Epsom College, and smaller
Institutions.
In the Mental Hospitals there were notified, among the staff and
patients, 25 cases of Scarlet Fever, 4 of Diphtheria, 45 of Enteric Fever,
73 of Pneumonia, 65 of Dysentery, and 24 of Erysipelas.
The cases of Scarlet Fever in 1921 extended over the whole year, with
no particular outbreak at any time, not more than nine cases being notified
in any month ; at two periods there was some special incidence on the
children attending a department of two of the Schools, but not to any
marked extent. The outbreak was of a very mild type. Two instances of
return cases occurred in April of that year.