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Of the cases certified, 91 per cent. were removed to hospital, as compared with
93 per cent. in 1905, 94 per cent. in 1904, 88 in 1903, 84 in 1902, 83 in 1901, 86
in 1900, 80 in 1899, 77 in 1898, 67 in 1897, and 65 in 1896. The cases certified
were at the rate of 1.1 per 1,000 inhabitants in the Borough, the rate varying from
1.6 in Acton Ward to 0.9 in Hoxton, Kingsland and Wenlock Wards.
The deaths numbered 14, the death-rate being 0.12 per 1,000, as compared with
0.14 in 1905, 0.16 in 1904, 0.18 in 1903, 0.18 in 1902, 0.23 in 1901. 0.45 in 1900, and
0.52 in 1899. (Appendix, Table VII.) The case-mortality was lower than in 1905,
being 10.5 per cent. of the cases certified (15.5 allowing for the cases not regarded
as diphtheria at the fever hospitals), as compared with 15.2 per cent. in 1905 and
10.3 per cent. in 1904. The mortalities for previous years were: 13.6 in 1903, 10.7
in 1902, 8.8 in 1901, 15.3 in 1900, 17.0 in 1899, 17.3 in 1898, 22.1 in 1897, 21.0 in
1896, 24.1 in 1895, 24.0 in 1894. and 29.0 in 1893. Of the 14 deaths in 1906, 12
were of children under five years, the mortality being 16 per cent. of
the cases certified amongst children under that age (21.4 allowing for cases
not regarded as diphtheria at the hospitals), as compared with 14.7 in
1905, 16.3 in 1904, 23.8 in 1903, 20,5 in 1902, 15.4 in 1901, 22.7
in 1900, 34.2 in 1899, 29.5 in 1898, 36.0 in 1897, 31.8 in 1896, 47.5 in 1895, 43.0
in 1894, and 61.0 in 1893. The case mortality amongst persons over five years of age
amounted to 3.4 per cent. of the cases certified, but deducting the cases not regarded
as diphtheria, the mortality was nearly 6 per cent.

In 46 of the cases the patients were children attending school, and in 35 they
were at school within one week of being certified to have diphtheria. In a few instances
the patients were attending school whilst actually suffering from diphtheria