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The following cases are connected :—On April 1st, Mrs. W—, aged 31, of
126, St. Johns Road, began to ail and she was certified on April 26 to have enteric
fever and removed to hospital. Three cases in children, viz., S. J—, a male
aged 4, W. J—, a male aged 11, and R. J—, a female aged 14 were certified
on May 11th. They were taken ill between May 1st and 4th at 13, Gloucester Row.
From the history obtained it appeared that Mrs. W—, who was a connection of
the J— family by marriage, visited their home at 13, Gloucester Row, on
several occasions during the first fortnight or so of her illness ; moreover, the
grandmother of the children, who resided at 13, Gloucester Row, visited Mrs. W—
when she became too ill to get about, and Mrs. W—'s infant, aged 8 months,
was taken to 13, Gloucester Row for a day or two about April 19th when its mother
became too ill to look after it. This infant was ailing and was removed to hospital
but from the information obtained it did not appear to have enteric fever. On
May 15th, A. J—, aged 1½ years, was noticed to be unwell and was certified as
a case of enteric fever, and removed to hospital on 23rd May from 13, Gloucester
Row.
There seems very little doubt that the cases at 13, Gloucester Row were secondary
to that of Mrs. W—, who it is to be noted was ill for some 26 days before
she was recognised to have enteric fever. The last case was probably infected through
one or other of the children certified on May 11th.
Two typhoid carriers were reported as having been discharged from the
Army from the Royal Victoria Hospital, Netley, and proceeding to addresses in
Shoreditch, one in April and one in June. They both appeared to be in perfect
health, and seemed to have been thoroughly instructed as to the precautions to be
taken to prevent risk of infection to those with whom they may be brought in
contact. Up to the end of the year no case had occurred which could be connected
with them in Shoreditch.
The cases certified in the Metropolis show a marked decrease on the numbers
for previous years, being but 702 as compared with 1,022 in 1911, 1,298 in 1910,
1,049 in 1909, 1,350 in 1908, 1,396 in 1907 and 1,608 in 1906. The attack-rate
was 0.15 per 1,000 population, and somewhat higher therefore than that of Shoreditch.
The deaths numbered 117 as compared with 144 in 1911, 196 in 1910, 146
in 1909 and 225 in 1908. The death-rate was 0.02 per 1,000 inhabitants.
ERYSIPELAS.
The cases certified as erysipelas numbered 149, as compared with 159 in 1911,
127 in 1910, 143 in 1909, 124 in 1908, 133 in 1907, 144 in 1906, 138 in 1905, 183 in
1904, 147 in 1903 and 172 in 1902. There were 6 deaths from the disease, as compared
with 4 in 1911, 1 in 1910, 16 in 1909, 5 in 1908, 6 in 1907, 2 in 1906,
3 in 1905, 5 in 1904, 7 in 1903, 8 in 1902, 6 in 1901, 10 in 1900 and 16 in 1899.
The figures for previous years are contained in the report for 1908.