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45
The two latter diseases are not received into the Metropolitan
Asylums Board Hospitals, and are therefore treated at the Union
Infirmary or at General Hospitals.
By the courtesy of the Officers of the Metropolitan Asylums
Board, the Department receives information as to such cases
removed to hospital, which, in the opinion of the Medical
Superintendents of the various hospitals are not true cases.
Twenty-eight of such cases were brought to my notice during
the year, including fourteen reported as Diphtheria, nine as
Scarlet Fever, and five as Enteric Fever. In view, however,
of the comparatively small number, and the possibility of
differences in diagnosis, these cases are not deducted from the
totals for the year, but must nevertheless, be taken into consideration
in connection therewith.
The total mortality from notifiable diseases was one
hundred and forty, including fifty-four parishioners dying either
at their homes or in institutions within the Parish, and eighty-six
in Metropolitan Hospitals outside the Parish, representing an
enormous reduction from that of the previous year, which was
equal to one hundred and eighty-seven. The deaths included
fourteen from Scarlet Fever, sixty-three from Diphtheria,
thirty-nine from Enteric Fever, seven from Puerperal Fever,
and seventeen from Erysipelas, and produce a notifiable-zymotic
death-rate equal to 0.8 per 1,000 of the population. These
details will be found clearly illustrated in Table XXIII.
The chart shewing the prevalence of notifiable infectious
disease in each week of the year is exceedingly interesting,
particularly if compared with the charts of temperature
and rainfall facing pages 106 and 108. It will be
observed that the rise and depression of the maximum
temperature, particularly in the earlier months of the year,
corresponds very closely with the line indicating the total