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reasonable amount of care in connection with their eating and drinking, easily
preserve themselves from an attack.
One of the first and most important rules is to avoid eating shell fish unless they
are known to have been derived from an absolutely clean source, and never under any
circumstances to eat those collected indiscriminately from the seashore, especially of a
popular and populous seaside holiday place.
Of the 18 notified cases, contaminated food was believed to be the source of
infection in one-third (6), the food being cockles in 4 instances, oysters in 1, and
shrimps also in 1.
The number of deaths from enteric fever was returned as 3, giving a mortality
rate of 16'6 per cent. The distribution of the cases in the various districts was
as follows :—All Souls, 7 ; St. Mary, 1 ; Christ Church, 4 ; and St. John, 6.
Examination of the premises resulted in the discovery of nuisances (dirty premises
etc.), in 6. The defects were remedied by the persons responsible, after their attention
had been directed to them.
The number of cases occurring in each week is shown graphically in the chart
facing page 7.
Cerebro-Spinal Fever.
The order of the London County Council making this disease compulsorily
notifiable expired in March, but by a further order the period was extended for an
additional twelve months up to March 1912.
In all, two persons were notified as suffering, and of these one was isolated and
treated in hospital. In both cases the termination was fatal.
Erysipelas.
The total number of cases notified was 109 and there were 6 deaths. As usual
most of the notifications came from the Workhouse Infirmary and General Hospitals,
and 40 of the patients were treated in one or other of these institutions.
Puerperal Fever.
Four cases of puerperal fever were notified in 1911. No deaths were certified as
from this disease.
Measles.
The chief sources of information with regard to cases of this disease, apart from
the entries in the returns of deaths supplied by the district registrars, are the returns
of infectious diseases made by the school teachers.
The following tables show the number of cases of measles and other infectious
diseases reported from schools, and other boroughs. during the year.
No classrooms where closed by the Education Department of the London
County Council on account of measles.