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51
Scarlet Fever. —Four hundred and ninty-six cases were
notified as due to Scarlet Fever, against 1,358 in the previous
year. Four hundred and seventy-nine cases were treated at
the Isolation Hospitals, and 17 at the homes of the patients.
Eleven deaths were registered. The mortality rate on the
cases reported was 2.2 per cent.
Enteric Fever. —Fourteen cases were reported as due to
Enteric Fever, against 4 cases in the previous year. Nine
cases were treated at the Isolation Hospitals of the Metropolitan
Asylums Board, one at the West London Hospital, one at St.
George's Hospital, one at St. Marylebone Infirmary, and two
at the homes of the patients. Three deaths were registered,
two, however, took place in Mental Hospitals. The mortality
rate on the cases reported was 28.6 per cent.
Of the fourteen cases reported it was found that six of tne
cases had journeyed to Epsom for the races,during Derby week,
and had either partaken of water sold from buckets on the
Downs or what was called " home-made lemonade."
This lemonade was probably made on the spot with
water obtained from the immediate neighbourhood.
Enquiries were made, and as a result the facts were
forwarded to the Ministry of Health, the London County
Council, the Medical Officer of Health for Epsom, and the
Medical Officers of Health of the London Boroughs.
Four other cases were traced to patients resident at
Acton, Leatherhead, Lambeth and Sutton, all of whom attended
the races at Epsom and partook of " home-made lemonade,"
or water on the Downs.
Erysipelas. —Thirty-nine cases were reported as due
to Erysipelas, against 51 cases In the previous year,