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26
fever.
The mortality (rate per 1,000 persons) was 0.07, as compared with 0.01 in 1903. Last
year's rates, except in St. Mary's Sub-District, were notably below the mean rates.
{See below.)
"Fever": Death-rates
(Enteric and Continued Fevers.)
Per 1,000 persons.
Mean Rates.
1904.
Five years.
1894-98.
Five years.
1899-1903.
Ten years.
1894-1903.
Borough
0.07
0.12
0.08
0.10
St. Mary
0.09
0.12
0.09
0.10
• St. John
0.02
0.12
0.03
0.07
North-West Paddington
—
0.12
0.16
0.14
In comparison with the rates for the Adjacent Districts (Table 14), the local rate was
highest of the series—that of Westminster, however, being equally high. On the other hand,
the local rate is the lowest of those given in Table 15, except that for the Metropolis.
The following notes on the multiple cases will be of interest:—
A. F Mews—f. æt. 24; sickened 11th Aug.; to hospital 20th Aug.
f. æt. 20; „ 15th „; „ 20th „
m. æt. 23; „ 20th „; „ 30th „
All three patients were in the habit of eating watercress frequently.
B. W Road.—f. æt. 13; sickened 10th May; to hospital 24th May.
m. æt. 12; „ 1st June; „ 5th June.
No source of infection could be traced in the first case. The second was probably due to direct
infection.
C. B Street.—f. æt 21; sickened 14th May: to hospital 19th May.
f. æt. 29; „ 8th June; „ 10th June.
m. æt. 11/12; „ 15th „; „ 16th „
f. æt. 58; „ 2nd July; „ 27th July.
f. æt. 4; „ 20th „; „ 6th August.
No history could be obtained of the source of infection of the first case. The others were apparently
infected directly each from the preceding case. The fifth case was in a second family in the
same house. There was only one w.c.
D. C Street.—Four Members of a family (f. æt. 38, f. 0t. 13, m. æt. 10, m. æt. 4) were admitted to the
Workhouse on 27th September, and subsequently transferred to the Infirmary between that day and
10th October, ill with enteric fever. The family had returned from "hopping" in Kent one week
before going into the Workhouse. Enquiries were made of the local Medical Officer of Health,
but the source of infection, certainly acquired while the patients were out of London, could not be
' traced. A fifth member of the family went to stay with relatives in Willesden, and was subsequentlv
admitted into the Willesden Hospital ill with the same disease.
E. I Terrace.—f. æt. 60; sickened 5th November; took to her bed on 12th; case notified on 19th.
f. æt. 19; sickened about 12th November; to hospital 19th.
The second patient was maid-servant to the first. The interval between the two attacks is so short
that personal infection seems excluded. No source of infection could be traced, but no other
cases occurred in the household.