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In 94 cases the patient was a child attending school, and in 78 instances the
child had been attending school within one week of the onset of symptons. In 69
other cases, although the patients were not children attending school, there were
children members of the patients' families or living in the same houses who were
attending school. In a few cases the patients must have been attending school
whilst suffering from the disease before it was recognised as diphtheria. In the
majority of instances the houses in which the cases occurred were in a satisfactory
sanitary condition. In 37 instances there were histories of throat illness amongst
other persons residing in the houses where the patients lived. Several of these were
cases of diphtheria which had been previously or were subsequently certified.
ENTERIC OR TYPHOID FEVER.
There were 91 cases certified, 24 below the average of the past 8 years. The
attacks, which were not specially incident in any particular portion of the parish,
were at the rate of 0.74 per thousand inhabitants. Of the cases certified 88 were
persons aged five years and upwards. The deaths numbered 17, seven of which
occurred in hospitals outside the parish. The death-rate from enteric fever was 0.14
per 1,000, as compared with 0.15 in 1897, 0.14 in 1896, and 0.37 in 1895. Of the
attacks 18.6 per cent, terminated fatally, as compared with 17.7 in 1897, 15.7 in
1896, 21.2 in 1895, 14.1 in 1894 and 15.8 in 1893.
The distribution of the cases and the deaths amongst males and females in the
four registration districts are shewn in the subjoined table :—

Nearly 70 per cent of the cases certified in Shoreditch were removed to hospital
for treatment.