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21
Enteric Fever.—The number of cases of enteric fever notified in
Chelsea in 1908 was 17, as against 21 in 1907, the case-rate again being
a low one, namely 2.2. per 10,000 of population. Three cases were
notified in the first quarter, 2 in the second, 5 in the third, and 7 in the
fourth quarter. In North Chelsea 11 cases were notified, and in South
Chelsea 6 cases. Five cases ended fatally.
Of the 17 cases notified, one was stated by the Medical Superintendent
of the M.A.B. hospital to which the patient was removed, not to
be suffering from enteric fever or any other notifiable disease. This case
was kept in hospital 24 days.
The average duration of stay in hospital of 5 cases discharged during
the year, of which the records are to hand, was 49 days, the corresponding
figure for 1907 being 31 days.
Out of the 17 cases notified, in 4 the infection was in all probability
contracted outside the Borough of Chelsea; deducting the one case, in
which the diagnosis of enteric fever was not confirmed at the M.A.B.
hospital, there would appear to have been only 12 cases in 1908, which
can be regarded as having contracted the disease in Chelsea, as against
16 in 1907. No blood specimens were sent during the year to the Lister
Institute for the Widal re-action.
Case Mortality.—The following Table shows the case mortality, or
percentage of deaths to notifications of scarlet fever, diphtheria (including
membranous croup), and enteric fever, in Chelsea and in London, in
each of the 19 yeais 1890-1908 :—
Table XVIII.—Case Mortality in Chelsea, and in London, 1890-1908.
Scarlet Fever.
Diphtheria and
Membranous Croup.
Enteric Fever.
Chelsea.
London.
Chelsea.
London.
Chelsea.
London.
1890
7.0
5.7
17.6
24.1
17.4
23.0
1891
3.6
5.1
15.4
22.5
17.4
15.6
1892
5.3
4.3
22.9
23.9
13.6
17.2
1893
5.3
4.3
23.4
24.5
22.1
18.4
1894
5.1
5.2
21.7
23.6
14.7
18.1
1895
4.0
4.2
18.7
20.4
18.4
17.0
1896
4.9
3.7
22.9
19.3
14.7
17.7
1897
3.5
3.4
17.9
17.1
26.4
18.8
1898
4.2
3.4
15.1
14.8
25.0
19.3
1899
2.8
2.2
10.6
14.2
28.1
18.0
1900
3.0
2.6
9.9
12.8
24.4
17.5
1901
2.6
3.2
8.5
11.1
12.8
16.8
1902
4.0
3.1
100
11.0
16.6
16.3
1903
1.0
2.9
4.0
9.7
31.0
16.6
1904
5.6
2.7
8.2
10.1
15.4
15.6
1905
4.0
2.8
9.6
8.5
18.8
15.7
1906
3.3
2.6
10.0
8.8
0.0
16.9
1907
0.9
2.5
5.1
9.1
14.3
14.5
1908
4.0
2.5
9.4
9.2
29.4
18.1