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rates being 0.09, 0.12, 0.15 and 0.16 per 1,000 population respectively. The figures
show that whilst the attack-rate in Shoreditch during the year was about the same
as that for the Metropolis generally, the mortality from the disease was somewhat
higher.
ENTERIC OR TYPHOID FEVER.
The cases certified during 1910 numbered 49, of which 3 were subsequently
not regarded as cases of enteric fever at the hospitals to which they were removed.
The figures for twenty years previously are given in the report for 1909. The number
of cases in 1910 was the same as for the previous year. The attack-rate was 0.4 per
1,000 population, as compared with 0.4 in 1909, 0.8 in 1908, 0.3 in 1907, 0.3 in 1906,
0.3 in 1905, 0.4 in 1904, and 0.8 in 1903. The deaths numbered 8, the death-rate
being 0.07 per 1,000 inhabitants as compared with 0.05 in 1909, 0.09 in 1908, 0.05
in 1907, 0.03 in 1906, 0.01 in 1905, 0.07 in 1904, 0.11 in 1903, 0.20 in 1902, 0.08 in
1901 and 0.11 in 1900. The enteric fever death-rate although higher than in 1909
was below the average for the previous ten years.
The case-mortality was at the rate of 16.3 per cent, of the cases certified or
deducting cases not regarded as having been enteric fever the mortality was 17.3
per cent. The case mortalities for 1909, 1908, 1907, and 1906 were 12.2, 10.9, 17.6
and 10 per cent, respectively. Taking the case mortalities for the seventeen years
ending 1909, the average is 14.5 per cent, of the cases certified ; the mortality during
1910 was therefore higher than usual.

The cases are grouped according to ages in Table III. (Appendix). Of the
cases certified, 46, or approximately 94 per cent., were removed to hospital for
treatment.