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41
SMALL POX.
No case of this disease has occurred here since 1904.
During the year there were a few cases in a neighbouring district. In
the Weekly Returns of Infectious Diseases received from the Local
Government Board, your Authority was made acquainted with this, and
the possibility of your district being invaded noted.
The agreement with the West Ham Corporation, for the reception
and treatment of all Small Pox cases arising here, is still in operation.
One death of an un-vaccinated child under 1 year, from Chicken Pox,
was registered, and I visited the home and satisfied myself that the
major disease was non-existent.
SCARLET FEVER.
Five hundred and six cases of this disease were notified in 1909, compared
with 635 in 1908, 815 in 1907, 809 in 1906, and 756 in 1905.
Three of the notifications were subsequently withdrawn.
Compared with previous years the number attacked is small, but the
case mortality was slightly greater than in 1908.
The Wards most affected were St. James Street and the Northern ;
the type of disease in the latter being much more severe than in the
former.
One person died in every 50 attacked in the Northern, whereas only
1 death occurred among the 112 notified in St. James Street.
The incidence in the other Wards was considerably less than in 1908,
the number notified in Hoe Street being less by 50.
The attack rate for the whole district was 4 per 1000, that for the
Wards as follows :—James Street and Northern over 5 ; High Street
and Wood Street under 8 ; and Hoe Street over 4 per 1,000 of their
estimated populations.
The increase in the Northern Ward was mainly due to missed cases,
causing spreading and continued infection among the children attending
the Blackhorse Road Infants' School.