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single room tenements, and in one instance the premises were
overcrowded; 143 of the patients were removed to hospital, where
24 of them died.
DIPHTHERIA (including MEMBRANOUS CROUP).
(Total deaths 64. Decennial average 102).
The number of cases reported under the two heads was 335 ; the
deaths registered were:—
Diphtheria 55
Membranous Croup 9
This indicates a mortality rate of 19.1 on the notifications. On
the estimated population at all ages the mortality is 0.49 per
thousand living, whilst the general Metropolitan rate is 0.43.
Of the cases, 123 were reported from the North District, with 21
deaths; 105 from the South, with 17 deaths; and 107 from the
East, with 26 deaths.
In 156 instances the residence of the patient was found to be in a
satisfactory sanitary condition; but in 74 the closets were
defective; in nine the external drainage was faulty, and in 20 the
drains inside the house were leaky; in one instance the domestic
water supply was found to be drawn from the cistern supplying the
w.c.; in two cases the premises were overcrowded; whilst various
other insanitary conditions were noted in 132 instances. Twentynine
cases occurred in families occupying one room only. Out of
207 cases removed to hospital 41 died.
ASYLUMS BOARD HOSPITALS.
The following table shews the admissions to and discharges from
the Asylums Board Hospitals of patients suffering from Diphtheria
and Fevers of various kinds. In addition to these, many of the
cases of Typhoid Fever were treated in general hospitals, and some
Diphtheritic Croup cases, requiring tracheotomy, were retained and
operated on in the London Hospital and the North Eastern Hospital
for Children.