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14
PUERPERAL FEVER.
Ten cases were certified, of which one terminated fatally. The cases certified
were at the rate of 3.9 per 1,000 births, as compared with 2.5 in 1923, 3.1 in 1922,
2.0 in 1921, 2.9 in 1920 and 1.3 in 1919. The cases certified in the Metropolis during
1924 numbered 298, and were at the rate of 3.5 per 1,000 births.
DIARRHŒA.
There were 15 deaths attributed to diarrhoea and 14 to enteritis. Six of the
deaths from diarrhoea occurred in August and the early days of September. Of
the deaths from diarrhoea nine were of infants under one year and the remainder
of children aged from one to two years. Of the deaths from enteritis 10 were of
infants under one year, and one of a child aged between one and two years, one
aged from two to five and the other two were of persons over 65 years of age.
Excluding deaths from enteritis, the death-rate was 0.14 per 1,000 population ;
including deaths from enteritis in children under two years the mortality was at
the rate of 0.24 per 1,000 inhabitants. The deaths from diarrhoea amongst infants
under one year were at the rate of 3.5 per 1,000 births ; including deaths from enteritis
under one year the rate was increased to 7.5 per 1,000 births.
The usual enquiries were made with a view to the prevention of the spread of
infection. The cases coming under observation were, however, comparatively few,
the prevalance of the disease being again much below the average.
The deaths from diarrhoea and enteritis in children under two years in the
Metropolis numbered 735, the death.rate being 0.16 per 1,000 population. The
mortality from diarrhoea and enteritis amongst infants under one year was at the
rate of 7.8 per 1,000 births.
MEASLES.
The deaths numbered 58 as compared with 23 in 1923, 84 in 1922, 18 in 1921,
50 in 1920, 12 in 1919, 72 in 1918, 139 in 1917, 33 in 1916, and 67 in 1915, being a
little above the average for recent years. Thirty were of males and 28 females,
and they were all, with the exception of three, amongst children under five years.
The death-rate was 0.55 per 1,000 was compared with 0.21 in 1923, 0.81 in 1922,
0.17 in 1921, 0.49 in 1920, 0.12 in 1919, 0.82 in 1918, 1.57 in 1917 and 0.33 in 1916.
Most of the deaths took place during the first three months of the year and there
were none after the beginning of June. Some 38 cases were nursed under arrangement
with the District Nursing Association in connection with which 419 visits were
made by the nurses.
The deaths from measles in London numbered 1,335, as compared with 367 in
1923, 1,559 in 1922, 241 in 1921, 1,026 in 1920, and 1,359 in 1919. The death.rate
for the year was 0.29 per 1,000 population.