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longer it lasts, the greater the mortality amongst infants from this
complaint. To prevent the recurrence of this mortality, I should
advise the frequent flushing of sewers, and the ventilation of them ;
the earth beneath the house should be covered with an impervious
stratum of cement, so as to prevent any gases rising into the house.
Strict supervision should be given to the food supply, especially
milk, as this is the main food of these infants.
Measles.
Thirty-eight deaths were registered from Measles, as against
33 for the year 1898.
There was a slight epidemic in the Central Ward, during May
and June, in consequence of which I visited the Schools in the
affected area, and advised the closing of the Infants' Departments
of High Street, Plashet Lane and Lathom Road Board Schools
for a period of 14 days from 1st June. This was done, and the
epidemic abated.
Phthisis.
There were 57 deaths during the year, being equal to a death
rate of .712 per 1,000 per annum, as compared with 50 deaths for
the preceding year or a death-rate of .714.
Phthisical patients should be isolated, and all expectorations
carefully disinfected and destroyed. Much harm is done by
carelessly depositing sputa on carpets, etc., where it dries, and the
bacillus, set at liberty, is transmitted by the wind to favourable
grounds for cultivation.
Cows should be periodically subjected to an examination by
a Veterinary Surgeon, for Tuberculosis.
Milk should be frequently examined for bacillus.
Influenza
Still continues amongst us, being marked by its severity
during November and December.