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65
Sub-district of Putney and Roehampton.
have had during the last ten years, and more than twice
the number resulting from all the other Zymotic Diseases
put together. On the 25th Feb. the National Schools
in both Putney and Roehampton were closed for three
weeks, and at the same time the managers of the various
Sunday Schools were requested to do the same. The
closure of the Elementary Schools is the only effective
means in our power of putting a stop to the spread of
these epidemics. In this case it was followed by a
marked diminution in the number of cases. Unfortunately
the closure of Schools cannot come in force at so
early a period as we could wish, as we have no certain
means of knowing to what extent it is epidemic, and are
sometimes made aware of it only when the certificates of
death resulting therefrom are registered.
Typhoid
Fever.
Fifteen cases of this disease were notified,
and of these four died, giving us a case
mortality of 26 per cent. and a death-rate per 1,000 of
the population of .19. Among the cases admitted into
the Metropolitan Asylums Board Hospitals the case
mortality was 10 per cent. and the death-rate from
Typhoid Fever per 1,000 of the population was .14. Not
only therefore was Typhoid Fever much more prevalent
in this sub-district than in London generally, but the
severity of the cases was also greater if we may judge
from the case mortality. The eating of contaminated
oysters was again supposed to be the cause of the disease
in several cases.