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1 case, 4 eases came from abroad, 2 had just taken up residence in the
City, and in 15 cases there was no history ascertainable. There were
6 deaths. The death-rate of this disease for England and Wales was
0-01, and for Westminster .04. The case rate for England and Wales
was 0.09 and for Westminster 0.21.
In July and August an outbreak of para-typhoid fever B occurred in
Kensington (47 cases), Fulham (25), Wandsworth (^5), Hammersmith (3).
There were also 91 cases from outlying districts adjoining the County of
London. During this period 11 cases of para-typhoid fever B were
notified in the City of Westminster. The cause of the outbreak in the
districts mentioned was believed to be due to imported cream but from
investigation it appeared very doubtful whether there was any direct
association between the causal factors in that outbreak and the sources
of infection in the Westminster cases.
The death-rate for England and Wales per 1,000 population was
0-11, for London 0-30, and for Westminster 0.03. 179 cases were
removed to hospital (157 to the hospitals of the Metropolitan Asylums
Board and 22 to private hospitals. 133 cases were under 5 years of
age, and 5 deaths occurred, all between the ages of 1 and 2 years.

The death-rate in 1928 for Westminster was 0-13 per 1,000; for
London, 0-13, and for England and Wales 0-19. Last year the corresponding
rates were higher, being 0-14 for Westminster and 0-39 for
London.