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death-blow has been given to the arguments of the opponents to
vaccination. That vaccination and early re-vaccination can
combat small-pox is conclusively proved. At the same time, of
course, due attention to improved sanitation is advisable, and in
every case immediate isolation should be enforced.
Measles, Whooping Cough, Diphtheria, and Diarrhœa, were
fatal respectively in 59, 52, 53, and 59 cases, whilst all the other
named 16 zymotic diseases proved fatal in 50 instances. Scarlet
Fever was responsible for 17 deaths. The "Notification of
Infectious Diseases Act" has been in operation during the year.
From Table O * may be gleaned the enormous amount of labour
which has been imposed upon your Sanitary staff by its provisions,
for it must be borne in mind that every case has been inquired
into, and in every case thorough disinfection has been carried out.
Your Inspectors have furnished me with a Report detailing to
some extent their work in this and other matters. It contains an
epitome of their efforts for the welfare of the district, and therefore,
whilst according to them personally my thanks for their
co-operation, I have re-produced the chief items contained in their
report for your information.
Table P† tabulatos the most important items of the Inspectors'
work for the year, and I am pleased to inform you that progress
has been made in the sytematic house to house inspection through
the district, which I foreshadowed in my last annual report.
EXTRA-METROPOLITAN ASYLUMS' DEATHS:—
The deaths which took place during the year, in extraMetropolitan
Asylums, were as follows
In Banstead Asylum 7
Colney Hatch „ 13
Caterham „ 2
Leavesden ,, 9
Brain disease proved fatal in 20 instances; in 5 phthisis was
the registered cause of death; heart disease and chest complications
were responsible for 3 deaths, and 2 deaths were attributed to
other diseases.
* Page 31.
† Page 33.