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milky. On the 22nd his voice was noticed to be weak, and he passed no urine for some time
before death unless it was with his motions. He died at 8.15 a.m. on the 23rd. A postmortem
examination was made on the same day, when it was found that there was no conspicuous
deviation from the normal in the appearance of the intestines and the intestinal
contents. The lungs were extensively adherent.
A piece of ileum was taken to Dr. Klein, who obtained a negative result as regards the
cholera vibrio.
(iii.). J G., æt. 30, inmate of the Holborn Union Workhouse, was a tailor by trade, who
had been tramping about. He was admitted early on the morning of the 22nd August to the
workhouse under the influence of liquor, and suffering from diarrhœa and vomiting. He
soon became collapsed and his voice was reduced to a whisper. The case was notified as
"cholera," and Dr. Bryett, medical officer of health of Shoreditch, who saw him on the
morning of the 23rd, learnt that the material evacuated from the bowel was regarded as
presenting a suspicious appearance. Dr. Bryett procured a specimen of this material—a thick
milky fluid, faintly tinged with green. The specimen was forwarded to Dr. Klein, who
obtained a negative result as regards the cholera vibrio.
Erysipelas.
The deaths attributed to erysipelas in the registration County of London, in 1897, numbered
184; the corrected annual average of the preceding ten years being 269.
The number of cases notified and the number of deaths registered in the registration County of
London during the last seven years have been as follows—

The case rate and death rate were therefore less than the rates of the preceding year.

1 See footnote (2), page 7.