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109
The services of the Council's Consultant Obstetricians were
utilised by general practitioners on three occasions during the year.
Plague.—There were no notifications of plague in the Borough
during the year.
Cholera.—There were no notifications of cholera in the Borough
during the year.
Erysipelas.—There were 130 cases of erysipelas notified during
1933. This is equal to an attack rate of 0.60 per 1,000 inhabitants
compared with 0.45 for England and Wales. Of the 130 cases
notified, 104 were removed to hospital.
There were 9 deaths certified to be due to erysipelas.
Cerebrospinal Meningitis.—During 1933 there were 8 cases of
this disease notified in the Borough ; all the cases were removed to
hospital. Five deaths from this disease occurred during the year.
Polio-myelitis.— Two cases of polio-myelitis were notified in the
Borough during 1933. Both were removed to hospital. One
patient died shortly after admission, whilst the other was still under
treatment at the end of the year.

Encephalitis Lethargica.— One case of this disease was notified
during the year and was removed to hospital for treatment. The
patient made a good recovery.
Three patients who had suffered an acute attack of this disease
and one who had suffered from polio-encephalitis in previous years
died during 1933.
Influenzal Pneumonia and Pneumonia.—There were 83 cases
of influenzal pneumonia and 125 of primary pneumonia notified.
As provided in the Regulations, where the nursing was found to
be inadequate a nurse was sent from the Hackney District Nursing
Association, in accordance with an arrangement made with the
Superintendent at a fee of 1s. 3d. per visit. Dining the year
34 cases, including cases of pneumonia and broncho-pneumonia,
were nursed and 595 visits were paid to those cases. Influenza,
unless complicated by pneumonia, is not notifiable.