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cautioned, but in no instance was it found necessary to take
legal action against any Midwife.
The New Midwives Act, 1902, came into force on April 1st,
1903. The L.C.C. is now the Supervising Authority, and has
not delegated any of its duties under the Act to the Borough
Councils—an action of the L.C.C. to be regretted in the cause of
efficient and economical administration.
In London, during 1903, there were registered 170 deaths out
of atDtal of 231 cases notified, giving a case-mortality of 73.6
per cant. (uncorrected).
ERYSIPELAS.
During 1903, in the Borough of Lambeth, 236 cases of
Erysipelas were notified, and 12 deaths registered, giving a case
mortality of 5.1 per cent. Of the 236 cases, 4 were removed to
Hospital. The yearly averages for the 10 years (1891-1900) in
the Parish of Lambeth are (1) notified cases, 347; and (2)
deaths, 17.5.
During 1902, 317 cases were notified, and 10 deaths registered,
from Erysipelas within the Borough of Lambeth.
In London, during 1933, there were registered 183 deaths out
of a total of 4376 cases notified, giving a case-mortality of 4.2
per cent, (uncorrected).
The advantages from the notification of Erysipelas are few,
and the majority of cases notified as Erysipelas are not such as
were contemplated by the framers of the Notification Act.
The details as to the incidence of the two diseases, puerperal
fever and erysipelas, in the different Registration Sub-districts
of Lambeth Borough during 1903 are as follow:—