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The death-rate was 0.03 per 1,000 inhabitants, as compared with 0.00 in 1910,
0.14 in 1909, 0 04 in 1908, 0.05 in 1907, 0.01 in 1906, 0.02 in 1905, 0 04 in 1904, 0.06
in 1903, 0.06 in 1902, 0 05 in 1901, and 0.08 in 1900. The deaths were at the rate of
2.5 per cent. of the cases certified, as compared with 0.00 per cent in 1910, 11.2
per cent. in 1909, 4 per cent. in 1908, 4.5 per cent. in 1907, 1.3 per cent. in 1906, 2.1
per cent. in 1905, 2 6 in 1904, 4.7 in 1903, 4.6 in 1902, 4.2 in 1901, and 5.8 in 1900.
Pyaemia and Septicaemia (blood-poisoning) were given as the cause of death in
13 instances, 6 of males and 7 of females. Infective endocarditis caused the deaths
of 1 male and 3 females.
PUERPERAL FEVER.
Five cases were certified, with two deaths. The attacks were at the rate of
1.4 per 1,000 births, as compared with 2.2 in 1910, 3.5 in 1909, 1.3 in 1903, 0.8 in
1907, 1.5 in 1906, 2.2 in 1905, 1.3 in 1904, 17 in 1903, 2.2 in 1902, 1.7 in 1901 and
2.5 in 1900. The puerperal fever death-rate, calculated per 1,000 births was 0.6
as compared with 0.5 in 1910, 1.0 in 1909, 0.5 in 1908, 0.2 in 1907, 0.8 in 1906, 1.0
in 1905, 0.5 in 1904, 0.2 in 1903, 0.7 in 1902 and 0.2 in 1901.
DIARRHŒA.
The deaths numbered 162, not including 92 attributed to enteritis. The
numbers of deaths from diarrhoea for previous years were 66 in 1910, 79 in 1909,
112 in 1908, 74 in 1907, and 194 in 1906. The mortality was therefore above the
average for recent years. The great majority of the deaths occurred during the
third quarter of the year. The mortality was especially heavy during the months
of August and September, the number of deaths during these months being 128,
and there were besides numerous deaths attributed to enteritis. Of infants under
one year, there were 108 deaths. Amongst children aged from one to five years,
43 deaths occurred. Of the remainder, one was of a person aged between 35 and
45 years, three of persons aged from 55 to 65 years, and seven of persons over 65
years of age. The death-rate due to diarrhoea was 1.47 per 1,000 population, as
compared with 0.58 in 1910, 0.69 in 1909, 0.82 in 1908, 0.64 in 1907, and l.68 in
1906. Taking the deaths from diarrhoea with the deaths from enteritis amongst
children under two years, which together numbered 239, the mortality was 2.1 per
1,000.
The deaths from diarrhœa amongst infants under one year in Shoreditch
during 1911, were at the rate of 30'8 per 1,000 births registered during the year,
as compared with 15.0 in 1910, 159 in 1909, 23.3 in 1908, 15.3 in 1907, 40.3 in 1906,
and 30.6 in 1905. For the Metropolis the rates were in 1911, 8'0 in 1910,
9.9 in 1909, 14.4 in 1903, 9.2 in 1907, 27.3 in 1906, and 20.7 in 1905. The figures
for previous years are given in the Annual Report for 1905.
The summer was exceptionally hot and dry. Doubtless this may have had a
good deal to do with the markedly increased prevalence of diarrhoea in 1911. In a