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about the middle of June until the date it was slaughtered. The Jury on the medical
evidence (the presence of the glanders bacillus not having been then confirmed) returned
a verdict of death from acute septicaemia, but as to whether the same resulted
from glanders or no the evidence was not sufficiently conclusive.
Man is usually infected through pus or discharge from a glandered horse obtaining
access to a wound or abrasion of the skin. In the foregoing case the seat of inoculation
was without doubt the site of the ulcer on the scalp.
PUERPERAL FEVER.
Five cases were certified, the attacks per 1,000 births being at the rate of 1.3 as
compared with 1.7 in 1903, 2.2 in 1902, 1.7 in 1901, and 2.5 in 1900. The death-rate
due to puerperal fever was 0.5 per 1,000 births as compared with 0.2 in 1903, 0.7 in
1902 and 0.5 in 1901.
DIARRHCEA.
Diarrhoea was prevalent in Shoreditch during the months of July, August and
September. It was most fatal during the last week of July and the first three weeks of
August. The number of deaths from diarrhoea in the third week of July was 9, in the
fourth week it rose to 23, and was 23 and 24 in the first and second weeks of August.
In the third week of August the maximum was reached, the number for that week being
31. The next week the number fell to 14,and after that the weekly numbers of deaths
due to the disorder gradually declined. The monthly records of the deaths from
diarrhoea during the summer months were 8 in June, 39 in July, 92 in August, and 23
in September. The number of deaths from diarrhoea during the year, including the
deaths registered as due to diarrhoea and epidemic or zymotic enteritis was 186. In
addition to these there were 54 deaths attributed to enteritis and gastro-enteritis, chiefly
in infants which have not been included. Of the deaths from' diarrhoea, 150 were of
infants under one year, 30 were of children under five years and the remainder were of
adults of thirty-five years of age and upwards.
The death-rate from.diarrhoea was 1.63 per 1,000 inhabitants as compared with 1.23
in 1903, 1.12 in 1902, 1.30 in 1901, 1.40 in 1900, 1.75 in 1899, 1.79 in 1898 and 1.74 in
1897. The rate was lowest in Shoreditch South and highest in Hoxton Old Town,
being 0.63 and 2.01 respectively.
The deaths fromi diarrhoea in the Metropolis numbered 4,801, of which 3,968
occurred during the months of July, August, and September. The deaths from
diarrhoea were at the rate of 1.07 per 1,000 inhabitants as compared with 0.64 in 1903,
0.53 in 1902 and 0.85 in 1901.