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From the above table of Notifications it will be
seen that the cases have not been so numerous as last
year by more than a hundred.
One case was notified as Small Pox but it proved
subsequently not to be so.
Scarlet Fever has not been nearly as prevalent.
Of the five years referred to in the table only one year,
1894, had a smaller number; in 1896 and 1897 the
numbers were much higher. As will be seen by a
reference to Table 10 there has been no special
prevalence in any "Ward.
Diphtheria has exhibited a very marked increase
having been more especially prevalent in Harlesden,
Kensal, and Kilburn. There have been outbreaks
connected with school attendance. In one instance
in a private school nine cases suddenly occurred, the
school was at once closed and the outbreak ceased.
I have given instructions that the house drains
in roads where Diphtheria is notified should be flushed,
as it frequently happens that the trap at the lower
part of the drains before entering the sewer becomes
blocked and consequently giving off foul gases.
Of the 333 cases notified 217 were removed to
the hospital, many of them in the early part of the
year were of such a severe type that no treatment
had any influence upon them; this will be more fully
entered into in the Hospital Report.