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The deaths numbered 4, as compared with 7 in 1909, 28 in 1908, 28 in 1907,
20 in 1906, 27 in 1905, and 13 in 1904, the death rate being 0.03 per 1,000 population
as compared with 0.06 in 1909, 0.24 in 1908, 0.24 in 1907, 0.17 in 1906, 0.23 in 1905,
and 0.11 in 1904. The case mortality was at the rate of 1.9 per cent, of the cases
certified as compared with 2.0 in 1909, 4.7 in 1908, 3.1 in 1907, 3.1 in 1906, 3.4 in
1905, 3.8 in 1904, 2.7 in 1903, 3.3 in 1902, 3.5 in 1901, and 5.4 in 1900. Both the
death-rate and case mortality were in 1910 lower than in any year for which they
have been recorded. Amongst children under five years there were 86 cases, with
2 deaths, the case mortality being 2.3 per cent, (allowing for mistakes in diagnosis
2.7 per cent.), as compared with 2.3 in 1909, 8.9 in 1908, 7.2 in 1907, 6 in 1906, 7.7 in
1905, 7.8 in 1904, 2.7 in 1903, 5.3 in 1902, 6.8 in 1901, and 12.0 in 1900. Amongst
persons over five years of age there were 124 cases, with 2 deaths, the mortality
being at the rate of 1.6 per cent, of the cases certified (allowing for errors in diagnosis
1.8), as compared with 1.9 in 1909, 2.2 in 1908, 1.2 in 1907, 1.3 in 1906, 1.0 in 1905,
1.8 in 1904, 2.7 in 1903, and 1.7 in 1901. The whole of the deaths were of children
below fifteen years of age.
Throughout the Metropolis some 10,542 cases were certified, the attack-rate
being 2.1 per 1,000 inhabitants, as compared with 3.5 in 1909, 4.6 in 1908, 5.6 in
1907, 4.3 in 1906, 4.1 in 1905, 2.8 in 1904, 2.7 in 1903, 3.9 in 1902, 4.4 in 1901, and
3.0 in 1900. The deaths numbered 214, the death rate being 0.04 per 1,000, as compared
with 0.08 in 1909, 0.11 in 1908, 0.13 in 1907, 0.11 in 1906, 0.11 in 1905, 0.08
in 1904, 0.07 in 1903, 0.12 in 1902, 0.13 in 1901, and 0.08 in 1900.
The above figures indicate that in Shoreditch and in London generally scarlet
fever during 1910 was again below the average, both as regards prevalence and
mortality, and it may also be remarked that the attack-rate and death-rate from
this disease in Shoreditch were again below the average for the Metropolis. It may
also be pointed out that during the past eleven years the attack-rate in Shoreditch
has averaged 3.9 per 1,000, as compared with 3.7 for the Metropolis as a whole.
In a poor working class district with a density of population per acre approximately
three times the average for the Metropolis a greater difference than this might be
expected. That such is not the case is, I believe, very largely to be attributed to the
high percentage of the cases certified in the Borough removed to hospital for isolation.
DIPHTHERIA.
The cases certified, including 5 of membranous croup, numbered 127, as compared
with 183 in 1909, 202 in 1908, and 211 in 1907. Of these 15 or 11.8 per cent.,
were not regarded as diphtheria at the hospitals of the Metropolitan Asylums Board.
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