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20 CEREBRO-SPINAL FEVER.
births as the basis of rates, the figure for Paddington for last year is 4.48 per 1,000,
as compared with a quinquennial mean rate of 3.82. The local rate for last year was
exceeded by that recorded in Hampstead, where the rates were—1909, 4.68; mean, 5.58.
Erysipelas.—One hundred and six (106) cases were reported during the year, one more
than the total for 1908. The morbidity rate was 0.69, or 0.13 less than the quinquennial
mean rate. More cases were reported last year than in 1908 in Harrow Road, Maida Vale,
Lancaster Gate (West), and Hyde Park Wards. There were four deaths during the year,
equal to a fatality of 3.8 per cent.
In one house only (a tenement house) did multiple cases occur during the year—two
females in different families being attacked, with an interval of about six weeks between
the two cases. Two patients suffered from recurrent attacks, the intervals between the
notifications being three and seven weeks respectively.
Seven patients were treated away from their homes, 5 at the infirmary and 2 at the
hospitals where they were employed.
Other Septic Diseases.—From these diseases—they are not included in the schedule of
diseases to be notified—there were 10 deaths, viz., 2 from pyaemia (both males), 3 from
infective endocarditis (1 male, 2 females), 3 from cellulitis (2 males, 1 female), and one each
from stomatitis (male) and carbuncle (female).
In these reports deaths from erysipelas are included in the mortality rates for "other
septic diseases." The mortality last year was 0.07 per 1,000, as compared with a
quinquennial mean rate of 0.09.
CEREBRO-SPINAL FEVER.
The notification of this disease was continued for a further period of a year in March
last. The Order requires the notification of cases of "Epidemic cerebro-spinal meningitis,"
which term is held to include cases of posterior-basic meningitis, but not those of meningitis
due to tubercle, syphilis, or middle ear disease.
During the past year four cases were reported, viz., 2 males, æt 5 months and 31 years
(the latter subsequently pronounced to be a case of septicaemia) and 2 females, æt 10 months
and 2 years. Two of the cases (removed to hospital) terminated fatally, both females; and
two other cases, viz., females æt 8 months and 2 years, were discovered on registration of
death. Only two of the deaths are entered under "cerebro-spinal fever," the others being
scheduled as "meningitis."
ANIMAL DISEASES.
Glanders.—By an Order of the London County Council, which became effective on April
26th last, cases of this disease occurring in man have to be notified. One such case was
reported during the year, the patient having contracted the disease some months previously
in the course of experimental work. The case terminated in death, outside the Borough,
during the autumn.
In pursuance of the London (Notification of Glanders) Order, 1907, outbreaks of the
disease among horses, which are notified to the veterinary inspectors, are reported to the
medical officers of health of the districts in which such outbreaks occur.