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33
Of the total cases 2 proved fatal, giving a case mortality of 8.3
per cent., or 0.02 per 1000 of the population.
The sanitary condition of houses in which the cases occurred was
investigated and the drains tested. Defective drains were found in 10
instances, defective soil pipes in 4 instances, and defective water
supplies, &c., in 7 instances.
Of the cases notified, 9 or 37 per cent. were removed to hospital.

It should be noted that of the cases in the Town Ward 1 occurred
in the Hampstead Workhouse, but this had not been contracted in the
Institution.
During the past year, owing to outbreaks of Enteric Fever
attributed to the eating of infected shell fish, much attention has been
drawn to the conditions under which such are produced, and there can
be no doubt that in certain instances, beds in which oysters and other
shell fish grow or are fattened, were exposed to serious contamination.
In Hampstead, I am glad to say, in no instance was any case of infectious
illness attributable to the eating of shell fish.
With regard to infection from other kinds of food, it is interesting
to note that the Medical Officer of Health for Hackney, after extensive
enquiries into an outbreak of Enteric Fever in his district, came to the