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in 91 this was satisfactory, in 36 it was fairly so, whilst in 43 it was unsatisfactory.
In eight of the houses invaded, more or less dampness was noticeable. In connection
with the foregoing figures, in respect to the sanitary condition of the houses, it should
he observed that although more houses which were in a satisfactory sanitary condition
were invaded by the disease, the conclusion is not warranted that this satisfactory
sanitary condition favoured the occurrence of the cases in the houses. The probability
is that the sanitary condition or otherwise of the houses played but a minor part
in connection with the incidence of the cases. Approximately the same figures would
have been obtained if 170 houses in which no cases of diphtheria had occurred had
been visited promiscuously during the year.
The cases certified as diphtheria in the Metropolis numbered 8,585, as compared
with 7,916 in 1906 and 6,482 in 1905, the attack-rates being 1.8, 1.6, and 1.3 per
1,000 population respectively. The deaths numbered 781, as compared with 691 in
1906, and 546 in 1905, the death-rate being 0.16, 0.14, and 0.12 per 1,000 population
respectively. During the past three years, the proportion of attacks per thousand
inhabitants in Shoreditch has differed but little from that of London as a whole. If
anything, it has been a little under the average for the Metropolis.
ENTERIC OR TYPHOID FEVER.
The cases certified during 1907 numbered 34; five of these were subsequently
not regarded as having been cases of enteric fever and intimations to that effect were
received from the hospital authorities.

The cases certified, which were fewer in number than in any year since the
notification of infectious diseases became compulsory, were at the rate of 0.3 per
1,000 population, as compared with 0.3 in 1905, 0.4 in 1904, and 0.8 in 1903. The
cases certified were all of patients over five years of age. The deaths during the year
numbered six, and the death-rate was 0.05 per 1,000 inhabitants, as compared with