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of the cases of diphtheria and scarlet fever in school childrenoccurred
in these two schools.
Tuberculosis :—The notifications in this disease showed
an increase over those of last year : the figures for all forms
of the malady are 45 for 1919 and 28 for 1918. The homes
of the notified persons were visited and instructions left
with the patients and their relatives concerning the hygienic
management of the cases.
Measles :—Only 14 cases of measles and 8 of German
measles were notified during the year as against 398 of
measles and 7 of German measles last year.
Influenzal pneumonia:—Ten cases in all. Harrow
suffered lightly from this disease in comparison with many
other districts.
Polio-myelitis:—Two cases: one in an infant and one in
a girl of twelve. The massage department of the Child Welfare
Centre has done good work for the infant in that no
permanent paralysis has occurred. The other case (a slight
one), has also escaped permanent paralysis.
Malaria :—Ten cases were notified. All these were
visited and instructed in the matters of continuing quinine
treatment in prophylactic doses, and the use of the mosquito
curtain. No case of marlaria acquired in England was
amongst these.
There were 44 cases of whooping cough notified by the
Schools during the year.
There was no case during the year of small pox, cerebrospinal
meningitis, puerperal fever, continued fever, relapsing
fever, typhus fever or enteric.
THE ISOLATION HOSPITAL.
The hospital can accommodate 30 patients. It was
hard pressed during the diphtheria outbreak more especially
as a fairly large number of scarlet fever cases occurred at the
same time. The erection of another block in the near future
should be borne in mind especially in view of the fact that bad
cases of pneumonia and measles require hospital treatment.
There is also urgent need for the enlargement of the
administration block in the matter of more bedrooms, a
common room for the nurses, and better accommodation for
food, linen, etc.
The total number of cases admitted during the year was
118, viz., 71 diphtheria, 43, scarlet fever, and 4 pneumonia.
Small pox:—Harrow is one of the local authorties who
maintain a conjoint small pox hospital at South Mimms.
Bacteriological and chemical analyses:-