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Infective Diseases. 29
cases was there any definite symptom of Diphtheria, which suggests
that they were protected against the disease.
Scarlet Fever.
981 cases of Scarlet Fever occurred, compared with 899 in
1929, 752 in 1928, 816 in 1927.
Six cases died, compared with six and three respectively
for the two previous years, and the death.rate was .01 per 1,000
compared with .016 and .008. The case mortality was .61 per
cent.
The case.rate per 1,000 of population, was 2.75 :—3.23
in Clapham ; 3.11 in Putney; 2.30 in Balham ; 3.68 in Streat.
ham ; 2.41 in Tooting; and 2.19 in Wandsworth.
Of the total number of cases, 831 or 83 per cent., were removed
to hospital.
The Medical Officers of the London County Council made
inspections of eight schools during the year, and any suspected
cases were at once excluded and the names and addresses forwarded
to me for inquiry.
Return Cases of Scarlet Fever and Diphtheria.
32 cases of Scarlet Fever and seven of Diphtheria occurred
within one month of the return of a previous case from
hospital.
Enteric and Para.Typhoid Fevers.
27 cases, and four deaths of the above occurred, compared
with 11 cases and four deaths in the previous year.
11 of the cases were true Enteric Fever and 16 were Paratyphoid
Fever.
Nine of the cases of Para.typhoid fever were in Putney and
Roehampton, during the months of July and August, and were
associated with a larger outbreak which occurred in the adjoining
district of Barnes. None of the cases proved fatal.
Puerperal Fever and Puerperal Pyrexia.
During the year there were 13 cases of Puerperal Fever
and 28 cases of Puerperal Pyrexia notified. 10 of the cases