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114
the beginning of the present year 1892, Influenza reappeared
for the third time, and has been extensively
prevalent.
Scarlet Fever.—Only I death was due to this disease,
and 1 in a Out-lying Institution. One hundred and ten
cases were notified, so the disease was of a very benign
type, the case mortality being 1.8 per cent. The
number notified in 1890 was 84.
Diphtheria caused only 2 deaths, compared with 23,23,
and 6 in the preceding three years. The number of
cases notified was 23, and 2 of membranous croun. The
case mortality was 8 per cent. This decrease is very
satisfactory as there has been a marked increase in
London during the last few years.
Enteric Fever caused 4 deaths, and the notifications
were 20, giving a case mortality of 20 per cent.
Measles.-Thirty-two deaths were caused by this, the
most fatal of the Zymotic diseases. This is a higher
number than in any year since 1884. In the summary
will be found some observations, with a special report
presented by us with reference to the notification of
measles. At present we are powerless to do anything to
prevent this great loss of life. It has even happened
that the Sanitary Inspector has been refused permission
to disinfect a room after a fatal case, and as there is no
probability of a magistrate considering measles to be a
"dangerous infectious disease" nothing more could be
done.
Whooping Cough resulted in 20 deaths, a figure less
than the average for the last 10 years, but greater than
in 1889 or 1890. All these deaths were from pulmonary
complications, and many should no doubt have been prevented.