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children under 5 years there were 90 cases with 1 death, the case mortality (allowing
for errors in diagnosis) being 1.1 per cent, as compared with 5 per cent, in 1912,
8 in 1911, 2.3 in 1910, 2.3 in 1909, 8.9 in 1908, 7.2 in 1907, 6 in 1906, 7.7 in 1905,
7.8 in 1904, 2.7 in 1903, 5.3 in 1902, 6.8 in 1901 and 12 in 1900.
Amongst persons over 5 years there were 250 cases with 2 deaths. The case
mortality was therefore 0.8 per cent, (allowing for errors in diagnosis) as compared
with 1.1 in 1912, 1.6 in 1910, 1.9 in 1909, 2.2 in 1908, 1.2 in 1907, 1.3 in 1906, 1.0 in
1905, 1.8 in 1904, 2.7 in 1903, and 1.7 in 1902. There were no deaths from scarlet
fever amongst persons over 5 during 1911.
The cases of scarlet fever in the Metropolis numbered 17,552, the attack-rate
being 3.8 per 1,000 inhabitants as compared with 2.5 in 1912, 2.3 in 1911, 2.1 in
1910, 3.5 in 1909, 4.6 in 1908, 5.6 in 1907, 4.3 in 1906, 4.1 in 1905, 2.8 in 1904, 2.7
in 1903, 3.9 in 1902, 4.4 in 1901 and 3.0 in 1900. The deaths numbered 188, the
death-rate being 0.04 per 1,000 as compared with 0.03 in 1912, 0.03 in 1911, 0.04 in
1910, 0.08 in 1909, 0.11 in 1908, 0.13 in 1907, 0.11 in 1906, 0.11 in 1905, 0.08 in 1904,
0.07 in 1903, 0.12 in 1902, 0.13 in 1901 and 0.08 in 1900.
DIPHTHERIA. (INCLUDING MEMBRANOUS CROUP).
The cases certified numbered 181 as compared with 137 in 1912, 171 in 1911,
127 in 1910, 183 in 1909, 202 in 1908 and 211 in 1907. Intimations were received
from the Metropolitan Asylums Board that 12 of these cases were other than
diphtheria.

The cases are grouped according to ages in Table II. (Appendix). Of the
cases certified, 95 per cent, were removed to hospital as compared with 95 per cent.
(174) B