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9
Erysipelas.—The corrected number of deaths was 8.
Ninety cases were notified during the year, and 21 were removed
to different Infirmaries and Hospitals. Forty-nine occurred in
Limehouse, 29 in Ratcliff, and 12 in Shadwell and Wapping.
Puerperal Fever.—There were 4 cases reported during
the year, and one proved fatal. Three occurred in Limehouse
and 1 in Ratcliff.
Enteric Fever.—The corrected number of deaths was 4.
The average annual number for the last 10 years was 8 3.
Fifty-one eases were notified, and 41 were removed to
Hospital. Twenty occurred in Limehouse, 19 in Ratcliff, and 12
in Shadwell and Wapping. The mortality was 7.8 per cent. of
those attacked. The annual average for the last 10 years was
17.7 per cent. of the seizures. The death rate was 07 per 1,000,
that for the whole of London being 13 per 1,000 of the population.
In one instance I was able to trace the disease to Maidstone.
A girl, who had spent the greater part of August and September
at that place, was taken ill soon after she came home, about
the last week in September. She was removed to the Hospital.
Whooping Cough.—The corrected number of deaths was
37. The average number for the last 10 years was 50 5 a year.
The death rate was 63 per 1,000 of the population. The death
rate for London as a whole, was 41 per 1,000.
Diarriicea.—The corrected number of deaths was 61. The
annual average number for the last 10 years was 43.
The epidemic followed the hot weather in July and August.
This form of Diarrhoea differs from the ordinary form, which
occurs at all seasons, and is due to various causes. The epidemic
summer Diarrhcea, is associated with high temperatures. It is
considered to be due to a form of micro-organism, which resides in
the superficial layers of the earth that contains food suitable for
it, that is, soil polluted with decomposing organic matter. The
micro-organism has the power of leaving the soil to be carried by
the air; by this means it gains access to food, and is introduced
into the human body. According to Dr. Ballard's report to the
Local Government Board, from "food the micro-organism can
manufacture a substance which is a virulent chemical poison, and