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19
Fever, Diphtheria, and Enteric Fever, and has, I have
been informed, accommodation for 92 beds, of which
number about 46 are in general use.
Pulmonary Tuberculosis.—Sixteen deaths were
registered, giving a rate of 0.80, the average rate for
the previous ten years being 0.7 per 1,000 persons
living.
Method of Control.—One case was notified under
the Public Health (Tuberculosis) Regulations, 1908;
and three under the voluntary system adopted by the
Council in March, 1909. Seven of the 14 deaths
which occurred in the district were in houses with a
rental under 10s. a week.
On receipt of notification the house is visited by
the Medical Officer of Health, and advice upon
methods of prevention of infection and surroundings
of patient given. In co-operation with the medical
attendant, the possibility of sanatorium treatment is
considered. The poorer classes have, however, no
choice between the Union Infirmary and charity. In
houses where knowledge of the existence of the disease
is first gained by the Registrar's death returns to the
Health Department, disinfections is carried out after
burial.
Other Tubercular Diseases.—Four deaths were
registered, a rate of 0.2 per 1,000, and half the average
for the previous ten years.
Puerperal Fever.—Two cases were notified ; both
terminated fatally.
Apparently this disease is exceptionally fatal when
occurring in this district. During the last ten years,
out of six cases notified, five have died, a case mortality
of 83.3 per cent.; and for the past 19 years, out of 12
cases notified, nine have died; a case mortality of
75 per cent.
Supervision of Midwives.—The County Council
is the local Supervising Authority, and the Medical
Officer of Health has no control in this district.
Influenza.—One death; rate of 0.05; average rate
previous ten years, 0.26.
Erysipelas.—Six cases notified; two deaths; rate,
0.1; average rate previous ten years, 0.03.