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During the year 1897, 75 per cent. of the cases of scarlet fever certified in
Shoreditch were removed to hospitals of the Metropolitan Asylums Board. In 1896
the percentage was 70, in 1895 60, in 1894 65, and in 1893, it was 37. During some
portions of the years 1895 and 1893, owing to lack of accommodation at the hospitals,
numbers of cases were treated at home which would otherwise have been removed to
hospital.
Scarlet fever was more prevalent in Shoreditch during the third and fourth
quarters of the year. The maximum number of cases notified during any single week
was that ending August 21st, when 23 cases came under my notice. The fewest cases
notified were during the week ending May 8th and June 19th, when 3 cases
were notified in each week.
The cases of scarlet fever notified in the metropolis during 1897 numbered 22,850,
the attack rate being 5.1 per 1000 population. The deaths in the metropolis
attributed to scarlet fever numbered 780, compared with 942 last year, and the death
rate due to this cause was 0.17 per 1000 inhabitants, as against 0.21 in 1896.
DIPHTHERIA (Including Membranous Croup.)
The cases notified as diphtheria during 1897 numbered 361, as compared with
356 in 1896, 244 in 1895, 303 in 1894, and 513 in 1893. The disease was most
prevalent in Shoreditch during the first quarter of the year. The deaths, which were
149 in 1893, 76 in 1894, 59 in 1895, 75 in 1896, were 80 this year. The mortality
amongst those attacked in Shoreditch, which was 290 percent. in 1893, 25-0 in 1894,
24.1 in 1895, 21 0 in 1896, rose slightly this year to 22.1 per cent.
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