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On that day his voice was found to be husky, and he suffered from cramps in the arms and
legs; the stools were still copious and flocculent, but apparently bile-stained; there was
suppression of urine. In the evening he became collapsed and died between 9 and 10 p.m.
A post-mortem examination was made on August 27th, and a piece of ileum was sent
to Dr. Klein, who reported on the following day—" The ileum on opening did not show any
conspicuous congestion of its mucous membrane, there was no fluid in its contents; from the
surface of the mucous membrane a greyish, filmy, sticky material could be easily lifted off.
This on microscopic examination showed epithelial cells, isolated and in small masses.
Amongst the crowds of bacteria present no comma bacilli could be recognised. Cultivations
were made, but so far there is no evidence of cholera vibrios being present." Dr. Klein
subsequently reported that the final result in this case was negative.
(iii.) J. T., female, aged 57, the wife of a tailor living at Amberley-road, Paddington, was
attacked on 28th September with vomiting and diarrhoea. On the 30th she was worse, and
suffered from cramps in the limbs. The stools were said to be like orange water. On the
1st October she was seen by a medical man, who found her in a state of collapse, and she
died the following day. Dr. R. Dudfield, medical officer of health of Paddington, informed
me of these facts, and arranged that a post-mortem examination should be made. A piece
of ileum was submitted to Dr. Klein, but the result of his examination was negative.
A death occurred in Harrow-road in November, of which I was informed by Dr. Parkes and also
by the coroner of the district. Inquiry was made concerning this case, but the facts elicited showed
that there was no reason for supposing it to be one of Asiatic cholera.
Erysipelas.
The deaths attributed to erysipelas in the registration county of London in 1895 numbered 179,
the corrected annual averaere of the preceding' ten vears being 291 *3.

The case rate and death rate in 1895 have therefore been less than the case rate and death rate
respectively of the preceding year. In 1895 Bethnal-green had the highest and St. Martin-in-theFields
the lowest case rate.

Puerperal Fever.
The deaths attributed to puerperal fever in 1895 amounted to 208 in the registration of county
of London, the corrected annual average of the preceding ten years being 290'8. The number of cases
*See footnote (1), page 10.