847 with an increase to 23 and then to 42 a week. The fresh outbreak was found to be associated with one single school, and this being closed a second time, the disease subsided. Amongst the other matters dealt with in Dr. Fenton's report is an account of the use made of the excellent hospital for infectious diseases. As already implied, it could not be much used for measles, but 111 patients were admitted, 84 of these suffering from scarlet fever. Formerly risk followed on the sending of

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... en home direct from the hospital, but under the arrangements now in force the communication of infection by this means has virtually been put an end to. Excellent work was also done during the year as to disinfection, 3140 articles and 91 houses being submitted to that process. Halifax Urban District.-With a population of 78,287, the death-rate for 1886 was 22 2 per 1000. The borough hospital received 48 caes of infectious disease, 18 of these being typhoid fever; there were also 16 deaths from diphtheria in the borough, bit no cases of this disease were received into the hospital. Amongst the matters needing reform to which Dr. Ainley refers is the scavenging of the roads, which is evidently badly carried out, causing needless offensiveness to the public, and especially to the tradesmen on the principal lines of traffic. The report of the sanitary inspector shows an excellent amount of work, carried out with efficiency and regularity. Lytham Urban District.-During 1886 there was an in-