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bread and uterus accounted for 36 per cent. of the female deaths. The
Table also shows that all the deaths from cancer of the Œsophagus, all
the deaths from cancer of the tongue, and 9 out of 11 deaths from cancer
of the larynx occurred amongst males.
An inquiry made as to the home addresses of the Chelsea residents
dying of Cancer in the past 3 years shows that the vast majority of deaths
occurred singly in a house. In 11 instances, however, there were two
deaths from Cancer in one house. but two of these houses were of the
nature of institutions, and not private houses. In the remaining 9 cases,
in 5 houses there was no apparent connection between the cases of Cancer
occurring in the house, but in 4 houses there was a family relationship
between the cases, which is given below: —
(1.) A man of 59 died of Cancer of the Larynx in May, 1922.
His widow, aged 62, died of Sarcoma of the Armpit in January,
1923.
(2.) A woman of 60 died of Cancer of the Intestines in February,
1921. Her sister, aged 68, died of Cancer of the Breast in November,
1923.
(3.) A woman, still living, had her uterus removed for Cancer
some years ago, and now has cancerous glands. Her husband died
of Cancer of the Jaw in 1922.
(4.) A man of 67 died of Cancer of the Rectum in September.
1923. His widow, aged 51, died of Cancer of the Ovary in December,
1923.
These 4 instances of what might be considered infection may be
mere coincidences. In the vast majority of cases there is no evidence
of Cancer spreading in a house from one person to another.
Deaths in Mental Hospitals.
The number of deaths of Chelsea residents in Mental Hospitals and
Asylums in 1928 was 20, as compared with 31 in 1922.
Encephalitis. Lethargica.
As in 1922, there were no cases of this disease notified in Chelsea
in 1923. In London. 105 cases were notified in 1923, and there were
19 deaths, the case fatality being 47 per cent., as compared with 71 cases
and 50 deaths (case fatality 70 per cent.) in 1922.
Cerebrospinal Meningitis.
No cases disease notified in chelsea in 1922. London,
71 cases were notified in 1923. and there were 58 deaths, the case fatality
being 82 per cent., as compared with 88 cases and 67 deaths (case fatality
76 per cent.) in 1922.
Polio-Myelitis and Polio-Encephalitis.
One case of Polio-myelitis was notified in Chelsea in 1923 —a girl
of 4 years, who was treated in St. George's Hospital, In London, 120
cases of Polio-myelitis and 11 cases of Polio-encephalitis were notified
in 1923, there being 13 deaths from the two diseases.
Puerperal Fever.
Two cases of Puerperal Fever were notified in Chelsea in 1923. Both
cases were removed to hospital. One proved fatal.