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49
coses tlicrc was reason to think the infection had been conveyed by
shell-fish.
In the remaining instances the source of infection could not be
traced.
Puerperal Feyer,
Two eases were notified, neither of which proved fatal, as compared
with 5 cases and 3 deaths in 1909.
Both of the cases occurred in No. 2 (Belsize) Ward. One of the
eases was removed to the llampstead Workhouse Infirmary.
Erysipelas.
Thirty-two eases were notified, and 1 death occurred, as compared
with 29 cases and 1 death in 1909.
The attack-rate per 1000 of the population was 0-33.
Of the cases notified, 10, or 31 per cent., were removed to the
llampstead Workhouse Infirmary.
The Metropolitan Asylums Board do not provide hospital accommodation
for cases of erysipelas or puerperal fever, and the patients
suffering from these diseases are unable to obtain hospital treatment
except in Poor Law Infirmaries or Workhouses.
Epidemic Cerebro-Spinal Meningitis.
This disease, which is popularly known as " Spotted Fever," was
made notifiable throughout London by an Order of the London County
Council made in 1907, and subsequently renewed from time to time,
but neither in that year nor 1908 was any case notified in llampstead.
In 1909, however, 4 cases were notified, all of which proved fatal. In
1910 two cases were notified and both patients died, but the post-mortem
examination in each case showed that the disease was not epidemic
cerebro-spinal meningitis.