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coincided with a general increase all over the country.
Two minor outbreaks were quelled almost with the same
rapidity with which they occurred.
Maternity and Child Welfare work continues to
record steady progress, and the Council are to be congratulated
upon the completeness of their facilities
under this heading.
Once more I thank the members of the Council for
their support and interest in the work of the Department.
To my staff and colleagues in other Departments
I take this opportunity of acknowledging their loyalty
and co-operation during the past year. I am indebted
to the general practitioners of the district for their goodwill,
upon which so much depends if any Public Health
Department is to be successful.
I am, Ladies and Gentlemen,
Your obedient servant,
W. T. G. BOUL, M.D., Ch.B., D.P.H.,
Medical Officer of Health.
STATISTICS AND SOCIAL CONDITIONS
OF THE AREA.
The Rural District is situated upon the northern
bank of the river Thames, opposite Gravesend, and has
three river frontages, two small and one large. The
latter extends from the eastern boundary of Tilbury
Urban District to Shell Haven. The frontage within
the Parish of Little Thurrock contains a large portion
of Tilbury Docks.
The district is divided into two portions of entirely
separate characters. Surrounding Grays, Tilbury and
Purfieet it is of an Urban type, containing residential
areas, factories, cement works and docks. Inland the
district assumes the ordinary agricultural aspect typical