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proved fatal, which were complicated with heart
and lung disease.
Measles.—No death was registered, and the
number of cases were few and isolated.
Whooping Cough.—Three cases proved fatal
to infants under six months of age. Many cases
occurred during the year. The highly contagious
and very often serious nature of this complaint is
frequently ignored by the people, and one constantly
meets with suffering children exposed in the public
streets to the detriment to themselves and others.
Diarrhoea.—Six cases were fatal and all were
children under rive years of age.
II.—Notifiable.
Seventy-six notifications were received against
52 in 1895, 63 in 1894 and 184 in 1893. Thirtysix
were cases of Scarlatina, 19 of Diphtheria, 3
of Enteric Fever, 1 of Puerperal Fever, and 17 of
Erysipelas.
Scarlatina.—Thirty-six cases occurred but not
a single death. They were fairly evenly distributed
throughout the district, but from South Teddington
only one case was notified. In several
instances there was elear evidence of cases having
been imported into the district, in others the infecttion
was traced to private schools, but in the
majority no cause for the outbreak could be found.
One potent cause of the spread of the disease is,
that it is not recognized by parents when the type
is of a very mild character; and thus the children
are allowed to go about and mix with others.
How difficult it is to trace the infection and to
take measures against the spread, will be illustrated
by the following case:—"A gentlemen was