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notified was 211. This gives an attack-rate of .9 per 1,000 persons
living. The deaths numbered 43, which shows a mortality of 20 0
percent. attacked, and .19 per 1,000 of the population. The disease
prevailed above the average during the first three months of the year,
and much more so during the months of August, September, and
November. Thirteen cases of this disease appear to have been
introduced into Hackney from outlying districts.
Typhus.—No case of typhus fever was notified in Hackney during
1900.
Continued Fever.—Four cases of fever were notified under this
name during the year, one of which was removed to hospital.
Pcerperal Fever.—Fifteen cases of puerperal fever were notified
during 1900, of which six died. All cases of puerperal fever are
enquited into, with a view to ascertain, and if possible remove their
cause; at the same time every precaution is taken to prevent infection.
In this connection I interview all nurses and midwives who
have attended the cases notified and instruct them as to the precautions
to be taken against the conveyance of infection.
Cholera.—No case of this disease occurred in Hackney during
1900.
Plague.—This disease was made notifiable by an order of the Local
Government Board, dated September 19th, 1900. In addition to
making the disease notifiable, the order imposes upon the Medical
Officer of Health the duty of reporting to the Local Government
Board any case of plague, either notified to him or brought to his
knowledge within the district of which he is Medical Officer of Health.
The local authority are also required by this Order to inform all legally
qualified medical practitioners in the district of their duties in regard
to the notification of this disease.