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26 CEREBROSPINAL FEVER.
The morbidity rate in each of the last two years was 0.82 per 1,000 persons, and the annual
average rate for the five years 1907-11, 0.77. The local rate (Table 7) was higher than any of
the rates recorded in the adjacent districts, but below that for the Metropolis.
An analysis of the parts of the body reported to be affected shows that in 86 instances the
disease was in the head and face, in 18 in the lower extremity, in 8 in the upper, and in one in
the trunk. In 4 instances no note was made on this point. Three men had two attacks during
the year, and in one family the mother and a daughter were affected at the same time.
Nineteen (19) patients (16.2 per ; 18.9 in 1911) were treated in institutions, viz., 15 at
the Infirmary, 3 at St. Mary.s Hospital (including one who apparently contracted the disease
there), and one at the London Fever Hospital. There were three deaths from the disease (all at
the Infirmary), two of the patients residing in Church Ward and one in Queen.s Park. The
fatality of the disease was 26 per of the reported cases last year, as compared with 7.6 in
in 1911 and 3.0 in 1910.
Other Septic Diseases.—Three deaths were scheduled under this heading last year, as
compared with 11 in the preceding year. The tabular statement here appended shows the
actual causes of death coming under this heading in each of the last six years.
Septic Diseases.
Deaths Recorded.
1912. 1911. 1910. 1909. 1908. 1907.
Erysipelas 3 9 3 4 5 7
Pyasmia 1 1 3 2 4 1
Infective endocarditis 1 6 4 3 2 3
Noma. 1 — — — — —
Carbuncle — — 1 1 — —
Cellulitis — — 4 3 — 1
Angina Ludovici — 3 — — — —
Septic pneumonia — — — — 1 —
Cancrum oris — 1 1 — 1 —
An analysis of the deaths from erysipelas and the other septic diseases, according to the sex
and ages of the deceased, is given below. The total mortality was 0.04 per 1,000 persons, equally
divided between the two divisions of the group. In 1911 the mortality from erysipelas was 0.06
per 1,000, and that from the other septic diseases 0.07.
Deaths 0— 1— 5— 15— 25— 65— All Ages.
during M. F. M. F. M. F. M. F. M. F. M. F. M. F.
Ersipelas 1912 — 1 11 — — 12
1911 — 1 — — — — — — 2 5 1 — 36
11907-11 1 1 ------ 1 2 1 0 3 3
Other Septic Diseases1912 - — — — — — 2 — — 1 21
1911 1 - - - - - 2 5 3 - - 6 5
1907-11 0 - 0 1 0 0 0 1 4 2 0 1 5 4
CEREBRO-SPINAL FEVER.
By an Order of the County Council, made on March 9th, 1912, and subsequently confirmed
by the Local Government Board, "Cerebro-spinal Fever (Cerebro-spinal Meningitis) " was
permanently added to the list of diseases to be notified. Last year 7 cases were reported, one
after death, as compared with two during life and two after death in 1911. Last years cases
comprised 5 in females and 2 in males, but two cases—one in a male and in a female—were
subsequently held to have been erroneously diagnosed in the first instance, they being the only
cases removed to the hospitals of the Asylums Board. All the 5 correctly diagnosed cases
terminated fatally, equal to a fatality of 100 per