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5G
WHOOPING COUGH.
The deaths from thin disease were 103 for this year and 54 for 1000.
The Wards of St. Mary, St. John and All Saints were those most
affected.
The annual death-rate per 1,000 living was 0.40.

CEREBRO-SPINAL FEVER.
In the early months of the year several well pronounced case of
this disease were brought to my notice.
The disease was made notifiable for six months from the 12th
March, and for a further period of eighteen months from the 13th
September.
Eleven cases were notified in the year under consideration two of
which were suffering from other diseases. The nine cases were—male
7.½ years, female 8 years, female 8 years, male 8 years, male 8 months,
female 5 years, female 7 months, female 1 year 9 months, and female
4 months. All but one case were removed to hospital and stated to bo
suffering from the disease, confirmed by bacteriological examination.
PHTHISIS.
The deaths from this disease during the year numbered 425, whilst
only 335 cases were notified to mo. This small number of notifications
in a borough where between 3,000 and 4,000 cases are present, shows
how utterly inadequate is the voluntary notification of the disease if any
steps are to be taken either in the way of disinfection, or for the improvement
of the surroundings of the patient, from a public health point of
view. The cases notified are usually in the last stage of the disease and
returned by the Poor-law medical officer. I can quite understand that
the private practitioner cannot in the present state of things afford to give
the information required by voluntary notification, which would bring
upon him an amount of opprobrium and probably loss of his patient. All