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CEREBRO-SPINAL MENINGITIS.
51, 46 cases occurred in 1915, 17 in 1916, 17 in 1917 and
7 in 1918. In addition 4 oases of post basic meningitis were
notified. There were 7 deaths (6 Cerebro-spinal meningitis and
1 Dost basic meningitis) 4 of which were under five years of age.
Four cases occurred in Woolwich parish and one in each
of the other registration districts. None of the cases were
soldiers.
Four cases were removed to the fever hospital, two of
which were stated to be mistaken diagnosis. Several doubtful
oases were seen by the Medical Officer of Health, on request of
the medical attendant, and when the former had any doubt as to the
diagnosis, a bacteriological examination was made.
PUERPERAL FEVER.
52. There were 14 cases of Puerperal' Fever notified compared
with 8, 7, 6, 16, and 12, in the five preceding years. There
were nine deaths. The case-rate per 1,000 births was 5.43, compared
with 2.14, 5.20, and 4.44, in the three preceding years.
The death-rate was 3.49 compared with 1.07, 1.13, and 2.22, in
the three foregoing years. The London case-rate and death-rate
per 1,000 births were 2.22 and 1.24 respectively.
INFLUENZA.
53, A serious epidemic of Influenza was the principal feature
of the year's mortality.
There were 454 deaths from Influenza in the past year,
201 being males and 253 females.
4 deaths occurred from January to March, and 6 from
April to June. From July to December the number of deaths occurring
each week were as follows:-
July August September October November
6 13 20 27 3 10 17 24 31 7 14 21 28 5 12 19 26 2 9 16 23 30
8 7 7 3 1 1 3 3 20 98 114 80 32 21 15
December
7 14 21 28
16 4 6 5 Total: 417.
The following table compares the age distribution of
total deaths with those of Influenza:-
18