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13
THE STRAND DISTRICT, LONDON.
were overcrowded, and in several others the ventilation
and cleanliness of the rooms occupied left much to be
desired.
Cholera and Diarrhœa.— Cholera reappeared upon
the Continent in 1894 and as its advent is usually
preceded by diarrhoea of a milder form the Local
Government Board suggested that during the autumn
months the latter disease might be made notifiable in
persons over 1 year of age. In place of this, however,
the requirements for the time were met by asking the
medical men practising in the District to give me
private intimation of any marked increase in the
number of diarrhœa cases they were called upon to
treat and of any severe cases of diarrhoea (Choleraic
Diarrhoea or British Cholera) which might come under
their care in the District. I have to thank these
gentlemen for their co-operation. Fortunately the
cases were not numerous; in each case coming to my
knowledge the general surroundings were examined,
disinfectants supplied, and the water-closets, drains
and sinks flushed. Dr. Klein was charged by the
Local Government Board to enquire into the relationship,
if any, existing between those cases known as
British Cholera, and cases of true or Asiatic Cholera,
and he desired to render assistance where the diagnosis
was doubtful, but no cases demanding this occurred in
the District.
Enteric Fever.—15 cases were notified in 1894,
being 4 more than in 1893. In 9 of them the complaint
proved fatal. With two exceptions all the cases
were notified in the last quarter of the year. Throughout
London there has been in the last few months
of the year an increase in this disease traceable in