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79
fact to be able to report. Of the 15 cases notified, 3 were
removed to Hospital. In each case enquiries were made, and
the Midwives (when in attendance) were visited at their homes,
their rooms (or houses) and clothes disinfected, and their other
cases (being attended at the time) followed up and watched for
periods varying from 2 to 3 weeks each. Four Midwives were
cautioned, but in no instance was it found necessary to take
legal action against any Midwife.
In London, during 1904, there were registered 198 deaths out
of a total of 274 cases of Puerperal Fever notified, giving a
case-mortality of 72.3 per cent. (uncorrected).
ERYSIPELAS.
During 1904, in the Borough of Lambeth, 251 cases of
Erysipelas were notified, and 14 deaths registered, giving a casemortality
of 5.6 per cent. Of the 251 cases, 50 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 1903, 236 cases were notified, and 14 deaths registered,
from Erysipelas, within the Borough of Lambeth.
In London, during 1904, there were registered 232 deaths out
of a total of 4,952 cases of Erysipelas notified, giving a casemortality
of 4.7 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 1904 are as follow:—