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36
ing 1906 a considerable number of the cases in the District
were of a malignant type, with high fever and delirium, and
in five instances the disease ended fatally. These severe cases
occurred in various parts of the District, and no reason could
be assigned for the disease having run an exceptional course.
All the cases notified during the last few months of the year
were of the normal type.
Diphtheria.
The number of cases notified was 30, a figure well below
the average of recent years. In two instances the disease
ended fatally. The number of different houses invaded was 28.
In a few instances direct infection from an already
notified case seemed probable, but in the majority it was impossible
to ascertain any evidence as to the source. Gross
sanitary defects on the premises were seldom noted, and even
when present it was matter for conjecture whether they were
more than predisposing causes.
The cases were distributed fairly evenly throughout the
year, and the only point to note about the incidence in
different parts of the district was the occurrence of 5 cases at
Whetstone, an undue proportion considering the relative
population and the fact that no connection could be traced
between these cases.
Typhoid or Enteric Fever.
Eleven cases of Enteric Fever were notified during the
year, each occurred on different premises, and no connection
could be traced between any two of the cases.
It was impossible to ascertain the source of infection in
any instance.
No case proved directly fatal, but one patient died
shortly afterwards from Tuberculosis.