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22
measure, and this means a very large increase in structural expense
and in the cost of supervision. In only a small number of these
cases was the Diphtheria bacillus detected, and all were very mild
cases.
The arrangements for the supply of Anti-toxin have proved
quite satisfactory in working. Two chemists undertake to keep a
supply obtained from wholesale houses of good repute, and the
doctor can obtain supplies at any hour of the day or night. The
account is sent in to the Borough Accountant and approved for
payment by the Committee on my signature. All the cases which
are reached in time are treated with Anti-toxin. The medical
men are asked to obtain two negative reports from the Lister
Institute before declaring the patient well. Several of the doctors
make a practice of this and the practice is being extended. The
examinations are paid for under contract with the Lister Institute
by the Corporation.
MEASLES (26 deaths).
There was a considerable prevalence of this disease in January,
February and March. On February 28th the attendances in
the Infants' Schools was so poor that I advised closure of that
department in all schools for a month. Later on St. Agatha's
Mixed School was also closed, partly on account of Measles and
partly for Mumps.
MUMPS.
This disease has still continued to be prevalent and was an
additional trouble during the Measles epidemic. St. John's Girls
School was closed in March for three weeks on account of the very
poor attendance. The closure of St. Agatha's Mixed Department
was partly due to this disease. There are still a few cases in the
schools, but it seems to be gradually dying out after nearly two
years' prevalence.