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the number of 87. Diphtheria bacilli were found in 27 cases, but the
examination of the remaining 60 yielded negative results.
Typhoid or Enteric Fever.—During the year under consideration
185 cases of typhoid or enteric fever were notified in the district. Of
these 10 were subsequently found not to be cases of that disease, thus
leaving a total of 175 genuine cases. This gives an attack rate of .77
per 1,000 living. This is a considerable decline upon the number and
rate for the previous year 1903, when the number notified was 247 and
the attack rate was equal to l.l per 1,000 living.
The incidence of the disease was very low during the first seven months
of the year. A rise then took place in the second week of August,
which was maintained, with slight fluctuations, until the first week iu
October, when it fell to a point little above the average for the year.
A slight rise occurred in the third week of November and the third week
in December, after which the notifications gradually fell to zero.

Of the total notified 141 were removed to hospital. This is equal to
over 76 per cent, of the total.
The deaths from this disease during the year numbered 25, which is
equivalent to a mortality rate of 14.2 per cent, attacked and to .11 per
1,000 persons living.
The number of cases of enteric fever notified in London during
1904 was 1896, and the death rate .06 per 1,000 living.