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24
The usual enquiries were made as to the circumstances connected with the
occurrence of enteric fever cases in the Borough during the year. With respect to
the cnses certified during the first half of the year, six were in all probability
connected, one was without doubt infected whilst resident in an adjoining Borough,
and nothing definite was obtained to throw light upon the source of infection in the
others. With regard to the cases during the second half of the year, in three
instances there was evidence as to infection from previous cases in the Borough.
In the majority, however, nothing definite was obtained, but some evidence was
forthcoming to indicate the probability of some article of food being the means by
which infection was conveyed. It will be noticed that in several instances shell
fish had been eaten prior to the onset of the disease, and in several cases fried fish is
mentioned, and may possibly have been the vehicle of infection.
Eight of the cases or approximately 17 per cent, were secondary to previous
cases in the Borough.
The cases certified in the Metropolis numbered 1,298, as compared with 1,049
in 1909, 1,350 in 1908, 1,396 in 1907 and 1,608 in 1906. The attack-rate for the
Metropolis was 0.2 per 1,000 population. The deaths numbered 196 as compared
with 146 in 1909, and 225 in 1908, and the death-rate was 0.04 per 1,000 inhabitants.
ERYSIPELAS.
The cases certified as erysipelas numbered 127, as compared with 143 in 1909,
121 in 1908, 133 in 1907, 144 in 1906, 138 in 1905, 183 in 1904, 117 in 1903 and 172
in 1902. There was only one death from the disease, as compared with 16 in 1909,
5 in 1908, 6 in 1907, 2 in 1906, 3 in 1905, 5 in 1904, 7 in 1903, 8 in 1902, 6 in 1901,
10 in 1900 and 16 in 1899. The figures for previous years are contained in the
report for 1908.