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these 16 were notified from North Southgate, and 39 from South.
Southgate. Seven were "secondary" cases occurring in 6 houses
from which cases had previously been removed to the Isolation
Hospital, and one was an "imported" case.
In 15 houses sanitary defects were found.
Thirty.three cases were removed to the Isolation Hospital,
and 2 cases to the Enfield Hospital.
There were 7 deaths, one of which occurred in the Isolation
Hospital, and 6 amongst patients isolated at home.
TYPHOID FEVER.
Three cases were notified, as against none in the preceding
year, 1 in 1907, 79 in i906, an 1 4 in 1905.
These cases occurred in Southgate, Winchmore Hill, and
Bowes, and had no connection with each other. One was an
"imported" case, in another the infection was probably derived
from polluted water from a surface well which had been pumped
up into the cistern, while in the third case no evidence of the
source of infection could be obtained.
DIARRHCEA.
This disease, which in normal years is usually more or less
prevalent amongst infants under one year of age, was happily
conspicuous by its absence, and there were no deaths recorded
due to it. This is the first year on record in which there have been
no deaths from this cause. It is accounted for chiefly by the wet and
cold summer and autumn experienced last year, whereby the
chances of infection of milk and other goods by infective dust
and dust carriers, such as flies, is reduced to the minimum.
The rate of death in the preceding year from this disease
was .25 per i,000, in 1907 .14, and in 906 1.0.
TUBERCULOSIS.
During the year there were 25 deaths from Tubercular
diseases, i7 of these being from Phthisis, as against 27 and i8
respectively in the preceding year.
In all cases of Phthisis that have come to my knowledge,
leaflets have been left pointing out fully the nature and danger of
the disease, and the means to be taken for the prevention of the