View report page

District. 17
ing with others at schools. It is highly probable that
a large number of mild cases are missed altogether and
so cause outbreaks of the disease.
Enteric Fever. There were 125 cases reported and 16 deaths,
or 4 below the corrected decennial average.
The death-rate per thousand living was 0.07, and that
for the Metropolis 0.13. The number of cases was
greater than in the two preceding years, but was
exceeded in the two years before then. The monthly
distribution shows a maximum in December (29 cases),
there having been an almost continuous rise from a minimum
of 3 cases in March. There was greater prevalence
in Clapham and Wandsworth than in the other subdistricts.
The death-rate was 12.8 per hundred cases
notified.
puerperal The number of cases reported was 20, a
Fever. decided increase on the last three years. The
deaths were 9, or 1 above the corrected average. There
has been much doubt and confusion as to what is meant
by the term Puerperal Fever, which is not used in the
volume on nomenclature of diseases issued by the Royal
College of Physicians. Your Board concurred with a
suggestion made by the Yestry of St. Marylebone that
it is desirable that the words be added : '' Peritonitis,
Metritis, in connection with parturition," as well as
" Puerperal Pyaemia, Septicaemia and Saproemia." Since
then the Royal College of Physicians and the Obstetrical
Society of London have expressed the opinion that these
diseases are included under the term Puerperal Fever, as
used in the Public Health (London) Act, 1891.
Erysipelas. There were 230 notifications, rather less than
in the two preceding years, and the deaths
were 11, or 2 above the corrected average. Most of
those reported were of a trivial character,
c