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30
During the year 19 swabbings from the throats of persons suspected
of suffering from Diphtheria were bacteriologically examined at the
Lister Institute. Of these the Klebs-Loeffler bacillus was isolated
in 7 cases, the results in the remainder being negative. Antitoxin
serum was sold to medical practitioners to the number of 12 bottles
during the year.
The number of cases of Diphtheria and Membranous croup notified
in the whole of London during 1903 was 7738, and the death-rate was
"16 per 1,000 living.
Typhoid or Enteric Fever.—During 1903, the incidence of this
disease on the Borough was exceptionally high. The number of
cases notified was 272, but of this number 25 were found subsequently
not to be suffering from this disease, thus leaving the total of genuine
cases of typhoid at 247. This is the largest number of cases notified
in any one year since 1895 when 256 cases were notified. The attack
rate is therefore equal to 1.1 per 1,000 living persons.

It will be further seen that the greatest incidence of the disease
was in the Central and North-East Sub-Districts. Of the total
notified 219 were removed to hospital. This is equal to 88 per cent.
The deaths from this disease during the year numbered 35 which is
equivalent to a mortality of 141 per 1,000 attacked and .15 per 1,000
living persons.
The number of cases of typhoid or enteric fever notified in the
whole of London during 1903 was 2339, and the death-rate equalled
.08 per 1000.