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been reached. Indeed, mainly as a result of the disturbed
conditions associated with evacuation and air attack, there
was a considerable fall in the number of children treated.
At the end of the year it was estimated that of the children
living in the district age 0-5 years 40 per cent. have been
immunised, and of the children age 5-15 years 81 per cent.
have been immunised. As children are not immunised
before their first birthday 80 per cent, is the maximum possible
in the first age group. Steps are being taken to
prepare a complete nominal roll of all the children in the
district so that determined efforts can be made to persuade
by personal approach the parents of unimmunised children
to take advantage of the benefits offered to them. With
movements of children in and out of the district and age
changes the clerical task of keeping such a record up to
date is likely to be great and only experience will show
whether it is practicable or not, but the advantage to a
community in being able to abolish such a serious disease
as diphtheria is so important that it is worth a considerable
expenditure of effort and money.

CEREBRO-SPINAL FEVER.
The low incidence of cerebro-spinal fever was maintained,
only two cases being notified. Both cases made good
recoveries,