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15
THE STRAND DISTRICT, LONDON.
Of the 15 cases notified in this District, 9 (with also
a case of "simple continued fever") were in St. Anne's
parish. Three of the cases came directly from other
towns to this district, and one patient complained of
bad smells at the shop where he was employed in
another parish. In connection with the oyster theory,
it is of interest to note that no less than 7 of the above
cases were persons employed in hotels and restaurants,
one of them being also an oyster merchant. In 8 premises
insanitary conditions existed. I have had information of
cases of enteric fever occurring in persons employed in
Somerset House, and complaints have been made from
time to time of the bad smells experienced therein ;
one case of enteric fever occurred in a person employed
there in the end of 1893, and 2 others in another
department at the end of 1894, one of these being
resident on the premises. Somerset House is not under
the sanitary jurisdiction of your Board, but I brought
the matter under the attention of the proper authorities,
and understand that considerable improvements are
being carried out. Two cases were notified from
another Government building, viz.:—Bow Street Police
Section House, the second case apparently having taken
the infection from the first patient who was treated
in a room occupied by eight other men until the
nature of the disease was recognised. I have suggested
certain improvements in the sanitary arrangements, and
also that a room be set apart for men who are sick.
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