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24
Child No. 3. Given 7 inoculations; treatment commenced 2-2-21
first negative swab 30-3-21
Diphtheria antitoxin is obtainable from a local chemist for
prophylactic purposes at the expense of the Council.
Scarlet Fever.
Scarlet fever was also unduly prevalent in London and neighbourhood
during last autumn. There were 41 cases notified during
the year, the attack rate per 1,000 of the population being 1.15.
Twenty-eight cases were removed to hospital, making 68 per cent.
of the total number.
Enteric Fever.
One case of enteric fever has been notified this year.
Encephalitis Lethargica was made notifiable from January
1st, 1919. Notifications were received during the year relating to
two patients: there was obviously no connection between the
sources of origin of the two cases. Both patients unfortunately
died.
There were three cases of malaria notified, one case of
dysentery, three cases of primary pneumonia, and four cases of
influenzal pneumonia. Seven cases of erysipelas were also notfied
during the year. In view of the fact that sanitary defects are
more common in the houses of patients suffering from this disease
arrangements have been made for the special sanitary inspection
of such houses, also for the disinfection of any bedding required.
Tuberculosis.
The Tuberculosis Regulations issued in 1912 by the Local
Government Board require that on notification of a case of tuberculosis,
visits are to be paid to the home by an officer acting under
the instructions of the Medical Officer of Health to investigate
the source of infection, the spread of infection, and to remove conditions
favourable to infection. A new form of enquiry caul has
been got out; suitable notified patients are visited at least