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46
nature, though varying in locality. The total deaths
were 31, indicating a case mortality of 10.2 per cent.
The death rate on the estimated population was 0.24.
In the County of London the death rate was 0.12.
The North sub-district contributed 112 of the cases,
the South 79 and the East 112. Of the 303 persons
notified as suffering from Diphtheria 260 were removed
to hospital; 34 of these were found by the Asylums
Board Medical Officers to have been incorrectly
reported and were sent home again. Five children
suffering from membranous croup and requiring immediate
operation to prevent suffocation were treated
either at the London Hospital or at the North Eastern
Hospital for Children. All except five of the Diphtheria
deaths were amongst young children less than five years
old. Swabs for cultivation were taken from the throats
of six persons who were suspected to be suffering from
Diphtheria, a negative result was reported in five of
them.
The Inspectors report that in 147 instances the home
of the patient was in a satisfactory condition, but in 37
the w.c.'s were defective. In two the internal drainage
was out of order, in five the external drains required
amendment and minor insanitary defects were found
in 114 instances; 37 cases were removed from single
room tenements.
RETURN CASES OF SCARLET FEVER AND
DIPHTHERIA.
A voluminous report on this subject has been presented
to the Metropolitan Asylums Board by Dr.
Cameron, the official medical investigator. The report