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From this it would appear that Diphtheria has been for many
years endemic in Enfield, with an occasional inclination to break out
into a mild epidemic.
To come now to 1908.—On referring to the Chart attached it will
be seen that cases of Diphtheria varying from 1 to 8 were notified
every week, dropping to 1 the third week in June. This was followed
by one week without any; then the next, 2 cases were notified;
then again there were 2 blank weeks ; then the next week two cases
were reported, while the following week there were none ; following
this the number increased until the highest point was reached in the
third week in October, since when they have declined, until in the
last week of the year they were reduced to nine.
The total number of cases reported from July 28th to December
31st, was 298, and of these 212 were removed to Hospital and 86
isolated at home. Twenty of the cases proved fatal, 5 dying at home
and 15 at the Hospital. Of the total deaths, 9 were males and 11
females.
The total number of houses affected was 238,4 cases occurring
in each of 4 houses, 3 in each of 9 houses, and 2 in each of 30 houses.

Not only did the majority of the total number of cases occur in
the Chase Ward, but they actually occurred in one very small part of
it, viz. : a section bounded by Baker Street, Clay Hill, Lavender
Hill, Holtwhites Hill and Parsonage Lane. The majority of Town
Ward cases lived either in close proximity to the Chase Ward, or
attended schools there, and might therefore be included with the
Chase Ward cases. The next highest numbers will be found in the
Ordnance Ward on the eastern side of the Parish. These occurred
mostly round Ordnance Road and the New Estate.
One of the Ponders End cases should really be included in the