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12
in Hoxton Ward, that of a boy aged fourteen, terminated fatally. The other cases
were amongst females. One of these was a nurse aged 29 employed in St. Leonard's
Hospital. The case in Wenlock Ward was regarded by the Hospital Authorities
as being one of Paratyphoid, B. The boy who died is said to have eaten cockles
about ten days before he began to feel unwell. With regard to the other cases
nothing was ascertained throwing light upon the source of the disease.
ERYSIPELAS.
The cases certified as erysipelas numbered 60, with three deaths.

The deaths from erysipelas were at the rate of 0.02 per 1,000 inhabitants, and
5 per cent. of the cases certified terminated fatally.
Pyaemia and septicaemia (blood poisoning) caused the deaths of 5 males and
3 females, and infective endocarditis caused the deaths of 3 males and 3 females.
PUERPERAL FEVER.
Seven cases were certified, none of which terminated fatally. The cases certified
were at the rate of 2 5 per 1,000 births, as compared with 31 in 1922, 2 0 in 1921,
2.9 in 1920, 1.3 in 1919, 1.7 in 1918, 1.8 in 1917 and 1.0 in 1916. The cases
certified in the Metropolis during 1923 were at the rate of 3.9 per 1,000 births.
DIARRHCEA.
Fourteen deaths were attributed to diarrhœa and 19 to enteritis. Most of
them occurred during August, September and October. They did not appreciably
affect the death rate during the summer and autumn months. Of the deaths from
diarrhoea 10 were of infants under one year, 3 of children aged from one to two
years, and one was of a person aged from 45 to 55 years. Of the deaths from enteritis,