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the corresponding figures for 1922 being 16 per cent. positive, and 84
per cent. negative.
Enteric Fever.
The number of cases of Enteric Fever notified in Chelsea in 1923
was 4. In addition two cases of Paratyphoid Fever (B.) were notified.
There were no deaths. Two of the Enteric Fever cases were removed
to hospital. In one case the infection of the disease was contracted
in Holland. In one case, the patient, who was in hospital for over three
months, was the wife of an oysterman, employed at a West End hotel
in opening oysters. This man was quarantined for a period, whilst his
fœces and urine were examined for bacillus typhosus. The result was
negative. He was compensated for loss of wages by the Borough Council.
Two specimens of blood were examined for the Widal reaction—one
proving positive, and the other negative.
Diarrhœa and Enteritis.
There were 8 deaths from these diseases in 1923, the number in 1922
being 7. All the 8 deaths were of infants under one year of age. There
was only one death from diarrhœa in the 3rd or summer quarter of the
year. The mean temperature of this quartet was 60·8 ° F., as against
57·3° in 1922, when no deaths occurred. The rainfall of the quarter
in 1923 was 5½ inches, as against 8.1 inches in 1922. In connection
with these diseases, 5 visits were made to homes, and 5 cases were, as
a result, discovered.
Influenza.
Influenza caused 15 deaths in 1923, as against 48 in 1922. There
was no epidemic prevalence in 1923. Of the 15 deaths one was an infant
of 8 months, two were between 20 and 40 years, and 12 were over 60.
In London there were only 752 deaths from Influenza in 1923. as compared
with 2,572 in 1922. Five cases of Influenzal Pneumonia were
notified in Chelsea in the course of the year.
Pneumonia.
Pneumonia and Broncho-Pneumonia caused 59 deaths in Chelsea
in 1923, as against 49 in 1922. During the year 37 cases of Acute Primary
Pneumonia were notified, 12 in the first quarter, and 16 in the last quarter
of the year. Nineteen cases were notified by St. Luke's Hospital, 11
cases by other public, institutions, and 7 cases by private doctors. The
District Nurses paid 261 visits to 15 patients suffering from Pneumonia,
the average number of visits per case being 17. The Woman Sanitary
Inspector also visited 11 cases to ascertain if nursing assistance was
required. In London, there were 4,248 deaths from Pneumonia in 1923,
as against 6,522 in 1922.
Tuberculosis.
The deaths from Pulmonary Tuberculosis in 1923 numbered 52
(28 males and 21 females), as against 51 in 1922. Other tuberculous
diseases caused 5 deaths (2 males and 3 females), as against 9 in 1922.
Of the 57 deaths from all forms of Tuberculosis, 5 had not been notified