View report page

109
Parish of Wandsworth.
was exceptionally prevalent were the Earlsfield and
Springfield Wards. 290 notifications, or considerablyover
half the total were received from these, 201 from the
Earlsfield and 89 from the Springfield Wards.
During the year, the proportion of notified cases of
Scarlet Fever in London per 1,000 of population was 51,
while in this sub district the rate was 8.4.
I have again to report that this year great difficulty
has been experienced in getting the cases removed to
hospital when such removal is most necessary. In
several instances five and six days elapsed before removal
could be effected, and to this is partially due the
increase of notifications.
The death-rate per 1,000 from Scarlet Fever was
•19, compared with .25 in 1896. For the Metropolis this
death-rate was .18.
Diphtheria. This disease was the most fatal of all the
notifiable zymotic diseases during the year. 243 notifications
were received during the year, as compared with
98 in 1896. During the whole year Diphtheria had
been more prevalent than in former years, but in
February and March two epidemics occurred, and in
these 76 cases were notified with 25 deaths, a percentage
of nearly 33, while among the other 167 cases notified,
21 deaths occurred, a percentage of 14.3. Of the 243
cases notified during the year, 105 cases were removed
to hospital where 19 died, while of the 138 cases that
remained at home 30 died. The total number of deaths
was 49, and the total case mortality was 20.1 per cent.,
while in 1898 the case mortality was 12 2, and in 1895
10 per cent.
In the Metropolis during the year, the proportion