“A principal source of danger in the future lies in the carelessness or ignorance which leads to the premature exposure of convalescents, to which cause several cases have been referred by my correspondents. A case of this kind occurred a short time ago. I ascertained that a boy, who had been ill only a few days and whose skin was actively peeling, had not only, by inadvertence, attended at the waiting room of a public dispensary, but had also been to one of the largest and most crowded of our parochial schools, while other members of the same family, and out of the same room, had been in the other departments of the same school, which moreover I found on inspection to be in a very unsanitary condition. I am doing what I can to prevent the recurrence of such a case by putting the teachers of schools on their guard; and, mindful of the steps which the School Board for London took, on our suggestion last year, with a view to prevent the spread of the malady through the medium of Board Schools, I addressed the Clerk to the Board lately, stating the facts as they are known in this parish, and urging a repetition of the precautions adopted last year; and I have had the satisfaction of receiving a communication from that gentleman to the effect that ‘the notices on the subject of scarlet fever, issued to the respective teachers in the autumn of last year, will be re-issued to the teachers by the time the various schools commence their work, after the summer holidays.’” Before concluding my remarks on this subject, I may mention that I availed myself of the opportunity afforded by sending the circular letter to medical men to place in their hands the “Suggestions for preventing the spread of infectious diseases,” and other sanitary notices, pointing out that copies were always available for the use of their patients; asking their co-operation in aid of the efforts which it is at all times my duty to make, with a view to arrest the spread of infectious diseases, urging the importance of isolation of the sick, and the propriety of sending patients to the hospital when the home accommodation does not allow of isolation; offering the services of your sanitary staff in all such cases, and explaining the arrangements made for the disinfection of clothing, etc., in the absence of a public disinfecting chamber. It, of course, remains to be seen to what extent the epidemic will grow, and judging by past experience the disease may during this year and the next be expected to prove fatal above the average, but come what may I have the satisfaction of knowing that no means have been spared, or will be, which it is in the power of your Vestry to adopt with a view to arrest its progress. _Diphtheria_.—This disease was the cause of 26 deaths (Town, 24; Brompton, 2), an increase of 15 over 1873—entirely in the Town sub-district. The deaths under five years were 14.