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ment of fatality at present throughout the kingdom. In
4 of the cases the internal organs were affected, in 1 the
throat, and in 1 other the tongue.
CEREBRO-SPINAL FEVER.
In March some anxiety was caused through a case
which had been sent into the Isolation Hospital as Diphtheria,,
developing a few days after admission, symptoms
resembling in some respects those of Cerebrospinal Fever.
This disease was at that time prevalent in Northamptonshire
and other parts. The case terminated fatally, but
proved to be one of Cerebro-Spinal Meningitis from oldstanding
middle ear disease.
TETANUS.
This case terminated fatally on the eighth day at
the Great Northern Hospital, to which the patient had
been removed. He was a young man aged 35s engaged
as a Stock Exchange Clerk, in very good health previously,
and living in a very healthy environment. Neither my
own investigations made on the spot, nor those of the
Hospital staff, could throw any light upon the problem
as to how the virus was conveyed into his system. This
remained a mystery absolutely.
PUBLIC ELEMENTARY SCHOOLS.
The Education (Administrative Provisions) Act, 1907,
came into force January 1st last, and Section 13 confers
on the Local Educational Authority, amongst other
things, the duty to provide for the medical inspection of
school children immediately before, or at the time of, or
as soon as possible after their admission to a Public
Elementary School, and on such other occasions as the
Board of Education direct; and the power to make such
arrangements as may be sanctioned by the Board for
attending to the health and physical condition of the
children educated in Public Elementary Schools. The
Board of Education appear to have dealt with this most
important matter in a broad and liberal spirit, treating
it as an integral part of the national health. They
advise that the work of medical inspection shall be carried
out in intimate conjunction with the Public Health
Authorities, and under the direct supervision of the