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11
NOTIFIABLE DISEASES.
Small Pox.—During the year 14 cases were notified as small
pox, but one ultimately was discovered to be chicken pox. Of the
13 cases, 11 were vaccinated in infancy, but of the remaining two
cases one had not been vaccinated, and the other was doubtful.
This last case was the only death from this disease during
the year. The attack rate was .06 per 1,000 of the population.
From inquiries made at the time of notification it appears that
three of the above contracted the disease in other districts.
Scarlet Fever.—The notifications for this disease for the year
under consideration numbered 1,044, of which 41 died. This is
a slight increase of notifications upon the number for 1894. Of the
total cases 316 were under five years, and 728 above five years old.
The total gives an attack rate of 4.8 per 1,000, and a mortality
rate of .19 per 1,000 living persons in the Parish.
Diphtheria and Membranous Croup.—There was a further decline
during the year 1895 in the number of cases of this disease notified,
the total number being 494, compared with 522 in 1894. The deaths
numbered 77. So that the attack rate for the year was 2.2 per
1,000 the death-rate .35 per 1,000 living persons.
The following account of a localised outbreak of diphtheria and
sore throat disease in a public institution in Hackney has some
features which are, from a public health point of view, worth recording.
The outbreak of sore-throat disease and diphtheria, above
referred to, occurred amongst the inmates of the King Edward's
Industrial School, Andrew's Road. This institution is supported
partly by public and partly by private contributions, and affords
accommodation for 120 girls. At the period of this illness there
were 119 girls in the school, whose ages varied from eight to sixteen
years.
My attention was first drawn to the cases by the. medical
attendant, Dr. Greenwood, who informed me on the 8th November
that there were several girls belonging to the institution suffering