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13
Mortality.—The fatality of the disease was somewhat greater
than last year, there being 35 deaths, representing a case mortality
of 4.3 per cent, compared with 3.37 in 1897.
Of the 640 removed to hospital, 29 or 4.5 per cent., and of the
171 treated at home, 6 or 3.5 per cent. died.
Return Cases.—In 14 instances the disease occurred within
10 days of the return of a child living in the same house from one
of the Metropolitan Asylum Board's Hospitals, after recovery from a
similar attack. The Managers of the Metropolitan Asylums Board,
in October, retained the services of Dr. Simpson, late Medical Officer
of Health for Calcutta, to investigate all the " return " cases that
have occurred in London for a period of six months, and he will
shortly present a report to them on the question.
Failure to Notify.—Proceedings were taken by the Vestry
against a Medical Practitioner for failing to notify a case of Scarlet
Fever, and he was fined £2 and 2s. costs.
DIPHTHERIA.
There was again an increase in the prevalence of this disease
in Fulham, 465 cases of Diphtheria and 11 of Membranous Croup,
which is identical with Laryngeal Diphtheria, being notified; the
case rate being 3.8 per 1,000 of the population as compared with
3.2 in 1897.

Mortality.—Although the number of cases notified was the
highest recorded the fatality was lower than in any year since