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18
Enteric or Typhoid Fever.—The cases notified numbered 254—
an increase of 47 upon the number in 1898. Of this total, 12 were
returned from the Metropolitan Fever Hospitals by the Medical
Superintendent as not suffering from any infectious fever, thus
reducing the total to 242. The attack-rate is, therefore, 1.0 per 1,000
living persons. The deaths numbered 39, which give a mortalityrate
from this disease of 16.1 per cent, attacked. The disease was
low from the beginning of the year until the month of September, when
the usuil autumn rise set in, which did not reach its maximum until
the second week in November, after which a rapid fall set in,
continuing to the end of the year. Six cases appear to have been
introduced into Hackney from outlying districts.
Typhus.—No case of this disease was notified during 1899.
Continued Fever.—Five cases under this name were notified
during the year.
Puerperal Fever.—Nineteen cases of this disease were notified
during 1899, and 5 of these were fatal.
A considerable amount of uncertainty has always existed as to
what puerperal condition should be recognised under the term
Puerperal Fever. This has now been authoritatively determined by
the Royal College of Physicians, which expressed the opinion to
the London County Council that "Puerperal Fever should be taken to
include septicaemia, pytemia, septic inflammations in the pelvis,
occurring as the direct result of child-birth."
A copy of this resolution was, on my suggestion, circulated amongst
the medical practitioners of the district.
Cholera.—This disease was not responsible for any death in
Hackney during 1899.
Erysipelas.—During the year under review 304 cases of erysipelas
were notified, amongst which were 19 deaths. The mortality-rate is
6 9 per cent, attacked.