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73
Report of the Medical Officer of Health.
The death-rate in the separate sub-districts was as follows:—
in Clapham .08, in Putney .06, in Streatham .02, and in Wandsworth
.05 per 1,000.
Of the 53 cases removed to hospital 16 were found not to be.
suffering from Enteric Fever.
The Chart shows the number of cases notified in each week
during the year.
Of the 96 cases notified, 16 were not Enteric Fever, and 13
cases occurred in H.M. Prison, where a special enquiry was made
by Government officials, leaving 67 cases of Enteric, regarding
which special enquiry was made as to the probable cause of
infection.
In 15 of the cases the infection was probably due to eating
shell-fish, in seven to watercress, in nine the disease was contracted
outside the Borough (one in Egypt, one in Austria, and
seven in other places), while six were infected by previous cases.
With regard to the cases probably infected by eating shellfish,
six were from oysters, one from mussels, one from cockles
and seven from winkles.
Four of the cases from eating shell-fish, two from oysters and
two from winkles, were fatal.
The following are the particulars of the 15 cases probably
due to shell-fish :—
(1.) S. L., notified on the 19th March. Had oysters about a
fortnight previous to first symptoms from a local dealer.
(2.) H. B., notified on the 8th October. Had oysters at
Ramsgate about the end of August, and the first symptoms
appeared about the 14th September. This patient
was a habitual eater of oysters and cockles, and besides
partaking of oysters at Ramsgate had several lots of
cockles from Southend. This case proved fatal.
(3.) F. W., notified on the 2nd November. Had oysters at
Bognor a fortnight previous to appearance of first symptems.
This case also proved fatal.