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THE STRAND DISTRICT, LONDON. 147
County Council and by other observers into the character
of sewer air.
Cholera.—The meteorological conditions which
tended to the increase of diarrhœa in the past year
were also more favourable for the introduction of
cholera, but fortunately the few cases gaining admission
to London were promptly isolated. Whenever
a death from diarrhœa is reported to me an examination
of the dwelling in which it occurred is made,
cleansing is carried out where necessary, and disinfectants
are put down the drains. The arrangements
made by the various authorities in previous years in
case of epidemic were re-established during 1893 and
improved. In order that the precise nature of the
malady of persons suspected to be suffering from cholera
might be promptly known, Dr. Klein was engaged by the
County Council to make bacteriological examinations.
Enteric Fever.—11 cases were notified in 1893,
being one less than in 1892. An analysis of these
shows that 2 proved afterwards not to be enteric or
typhoid fever; that 6 came into the District suffering
from the complaint, and that 3 only appear to have
contracted the disease in the District; in each of these
cases there were drainage defects, and one house was
generally dirty and over-crowded. Only one death
resulted from this disease.
Principal Diseases of the Zymotic Class.—The
Registrar-General classifies small-pox, scarlet fever,
measles, diphtheria, whooping-cough, fevers (typhus,
enteric and continued), and diarrhoea under this heading.
The zymotic death-rates for London and the Strand
District may be seen in Table V. (p. 172 in the Appendix).
The Strand rate is 0.38 below that for London.
k 2