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22
The following cases occurred at No. 100, W- Street, a house which is in a
good sanitary condition:—
(1) George E-, aged 32, was taken ill about the middle of October. He
was certified to be suffering from enteric fever on November 15th.
(2) Sarah E-, aged 30, wife of above patient, slept in the same bed with
him and waited upon him during his illness, was taken ill about November
1st, and was certified to be suffering from enteric fever on November 15th.
In connection with the above cases, the length of time which may elapse between
the commencement of the illness and the date on which it is certified to be enteric
fever is very noticeable. It is a circumstance which is frequently observed in
connection with enteric fever cases. Enteric fever is a disease usually very insidious
in its onset, and medical advice is oftentimes not sought until the illness is well
advanced. It is hardly necessary to reiterate, this is a circumstance which is very
favourable to the chances of the disease affecting other members of a household, for
until the nature of the disorder is recognised they are, so to speak, off their guard, and
no precautions are taken.
TYPHUS FEVER.
There were no cases of the above disorder certified. So far as is known, no cases
have occurred in Shoreditch for several years past. During 1899 some 11 cases were
notified in the Metropolis, and two deaths were registered as due to this disorder.
ERYSIPELAS.
The cases certified to be erysipelas numbered 200, as compared with 175 in 1898,
231 in 1897, 295 in 1896, 201 in 1895, 195 in 1894, 315 in 1893, and 243 in 1892.
The attack-rate per 1,000 inhabitants was 1.6, as compared with 1.4 last year. The
cases in London numbered 5,615, the attack-rate being 1.2 per 1,000 inhabitants.
The deaths from erysipelas in Shoreditch numbered 16, as compared with 11 in 1898,
five in 1897, three in 1896, five in 1895, and 15 in 1893. The death-rate was 0.13 per
1,000, as against 009 in 1898, 0.4 in 1897, and 0.02 in 1896. The case-mortality
was 8 per cent., as compared with 6.2 per cent. in 1898, 2.1 in 1897, 1.0 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
parish and its four registration districts was as set forth below.