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mortality of 4 per cent., and a death rate of '07 per
thousand living.
Membranous Croup.—No case was reported.
Typhus Fever.—No case reported.
Enteric or Typhoid Fever (including Continued
Fever).—Twenty cases of Enteric and 1 of Continued
Fever were reported, 21 in all, being equivalent to .76
case per thousand living in the district; 10 cases
occurred in Mitcham, 3 in Merton, 3 in Beddington (1
of which was at the Beddington Orphan Asylum), 2 in
Coulsdon, 1 in Merton, and 1 in Wallington.
Of these 21 cases, 7 (which includes the solitary case
at the Beddington Orphan Asylum), could not be traced
to any direct and distinct cause, although every endeavour
was made to do so. In some of the cases the patient had
been in several districts just prior to being affected with
the disease, and it is probable that in some of them, the
poison was obtained elsewhere than locally. Of the
remaining 14 cases, 8 were without any doubt imported;
2 came from Worthing, and 6 from various parts of
London. Of the 6 other cases, 1 was in a little girl in
Mitcham, who had been allowed to nurse a sister already
suffering from the disease, and no doubt caught it from
her. Another case in Mitcham (Beddington Corner),
seemed to have some connection with an offensive pit,
near which she sat in school. The hole was tilled up,
and covered with concrete. A case occurred in Kenley in
a house in which there was an extremely foul earthcloset.
The three remaining cases were in one insanitary
street in Merton. Two of the houses involved were
adjoining, and 2 other cases had occured in them
previous to my appointment. There was reason to