View report page

23
in the same house (tenement) in seven instances; at school in 25; and from
another case in the neighbourhood in 55 instances. In 15 cases the source was
unclassifiable.
Visits and inquiries at the homes of the notified cases resulted in the
discovery of nuisances and defects in sanitation to the number of 227. In 58 of
these the condition discovered was defective drainage, while in 169 the nuisance
was want of cleanliness. Notices calling for remedies were served in each
instance.
Enteric Fever.
During 1909, 22 cases were notified, and there were no deaths.
Half of the number of cases notified were in the All Souls' District; St.
Mary's and Christ Church having 4 each, and St. John's 3.
The number of cases (34) in 1908—which, being drier and warmer, was
distinctly a "typhoid fever year"—exceeded that for 1909 by 12.
During the year, 8 specimens of blood from doubtful cases were
examined, and in each case the result was negative.
In four of the 22 cases notified, suspicion fell upon iood as the source of
infection, viz.: Ice cream, 1;oysters, 1;fish, 1;and fruit, 1.
Defects in sanitation to the number of 9 were found in the infected
houses by the District Inspectors. Of these, 7 were ordinary nuisances—
dirty houses, etc.—and the remaining 2 were defects in drainage. Notices
were served and the defects remedied.
The curve showing the number of cases occurring each week will be found
at the beginning of the report.
Cerebrospinal Fever.
This disease continues to be notifiable throughout the Metropolitan area,
and during the past year 6 cases were notified as occurring in the Borough.
In each case the patient was removed and treated in hospital.
Erysipelas.
This disease, though included in the list of those notifiable, is not isolated
by the Metropolitan Asylums Board. A certain number of cases are treated in
the Workhouse Infirmary and General Hospitals, whence most of the notifications
come. The total number notified in 1909 was 134, and of this number 2
died.