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21
TYPHUS FEVER.
One case of illness was certified as typhus fever. The case, however, on
investigation proved not to be one of this disorder. So far as is known there have
been no cases of this disease in Shoreditch for the past ten years. During 1898 there
were four deaths registered from this disorder in the metropolis.
ERYSIPELAS.
The cases certified as erysipelas numbered 175 as compared with 231 in 1897,
295 in 1896, 201 in 1895, 195 in 1894, 815 in 1893, and 243 in 1892. The cases
certified were at the rate 1.4 per 1,000 population. The cases certified in London
numbered 5180 and the attack-rate per thousand was 1.1. The deaths in Shoreditch
numbered 11 as compared with 5 in 1897, 3 in 1896, 5 in 1895, 15 in 1893, and
11 in 1892. The case-mortality was higher than it has been since the Public Health
(London) Act, 1891, came into operation being 6.2 per cent, of the cases certified as
compared with 2.1 in 1897, l.0 in 1896, 2.48 in 1895, 2.5 in 1894, 4.7 in 1893, and
4.5 in 1892.
The distribution of the cases and the deaths amongst males and females in the
four registration districts of the parish during 1897 is set forth in the subjoined
table :—

The death-rate from erysipelas was 0.09 per thousand inhabitants as compared
with 0.04 in 1897, and 0.02 in 1896.
Six deaths were attributed to blood-poisoning (pysemia and septicaemia).
PUERPERAL FEVER.
Seven cases were certified with two deaths. The attack-rate per 1,000 births
was 1.6, and the death-rate per 1,000 births was 0.4. The rates for previous years
are contained in table XX. in the Annual Report for 1897.