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a means of discovering other cases. "Often it is among the
un-reported cases that the chief risk of spread of infection and
of a fatal result arises."
More recently, in 1920, the Medical Officer of the London
County Council reported on Measles, and stated:—
"In my opinion the effective control of Measles depends
upon the extent to which the existing machinery can be
further perfected and closer co-ordination secured between
the School Medical Officers and the Health services
administered by the Borough Councils."
A Conference of the County and Borough Councils was
held in 1921 and Resolutions directed to bringing about more
efficient control were adopted by the Conference, but the Council
could not take action with the staff approved at that time by
the Ministry of Health.
For convenience of comparison two diseases, Measles and
Whooping Cough, can be considered together when the small
number of cases visited, as compared with the number notified
from the schools, can be seen at a glance, as, of course, only
the worst cases specially brought to the notice of the Department
can be visited or nursed.

But there are several other important facts that this table
does not disclose. The number of deaths gives no idea of the