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11. Among those treated at home, 129 in number, 30 died,
giving a death-rate of 30. Among those treated at Hospital, 28
in number, 14 died, giving a death-rate of 50.
12. None of the cases of membranous croup went to Hospital.
As to the causes of the great prevalence of Diphtheria in Plumstead,
and the comparative immunity of Woolwich, I can only
repeat what I said last year, that I have found nothing but the
manhole ventilators to accouut for it.
Enteric Fever.
13. There were 29 cases of this disease compared with 22
last year. The cases were distributed all over the district as
Table Y. shews. There was however a much larger proportion
of adult men affected than usual, and 12 out of the 29 were
employed in the Arsenal. They worked in different departments :
3 in the Carriage Department, 2 in the Laboratory, 2 in the
Naval Department, 1 Control, 1 Gun Factory, Sighting Room,
&c. Even allowing that more than one half of the adult males
in the parish are employed in the Arsenal 12 out of 29 is a very
large proportion, remembering that this disease is more prone to
attack children and young people.
14. In former years it has been possible to trace most of the
cases of Enteric to infection caught outside the parish, but not
so this year. In fact, in the case of all the men employed in
the Arsenal I could find no likely source of infection, but the
conclusion seems to me irresistible that the source, whatever its
nature, was inside the Arsenal. Within the last week a case
has occurred in which the patient stated that he was in the