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20
Attention may again be directed to the small number of cases. Deducting the
cases wrongly diagnosed the actual number of persons belonging to Shoreditch
who suffered from enteric fever during the year was only 10. A glance at the
foregoing table will shew how the disease has decreased in the Borough during
recent years. The attack-rate was 0.1 per 1,000 population as compared with
0.1 in 1912, 0.2 in 1911, 0.4 in 1910, 0.4 in 1909, 0.8 in 1908, 0.3 in 1907, 0.3 in
1906, 0.3 in 1905, 0.4 in 1904 and 0.8 in 1903.
There was only one death during the year, the rate being O'OO per 1,000
inhabitants as compared with 0.03 in 1912, 0.00 in 1911, 0.07 in 1910, 0.05 in
1909, 0.09 in 1908, 0.05 in 1907, 0.03 in 1906, 0.01 in 1905, 0.07 in 1904, 0.11 in
1903 and 0.20 in 1902. The case mortality was at the rate of 6.6 per cent. of
the cases certified (10 per cent. deducting the cases not regarded as having been
enteric fever) as compared with 28.5 in 1912, 4.5 in 1911 and 16 in 1910. The
case mortality for the 20 years ending 1912 averaged 13.6 per cent. of the cases
certified.

The cases are grouped according to ages in Table II. (Appendix).
With one exception the cases were removed to hospital for treatment. In
six cases nothing definite was ascertained as to the source of infection. In one the
patient was stated to be partial to ice cream and fried fish. In three instances the
cases were secondary to previous cases in the Borough.
The cases certified in the Metropolis numbered 758 as compared with 702 in
1912, 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.