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In 255 of the cases "the patients were attending school and in 192 they were at
school within a week of being certified as having the disease. In some instances
the children were attending whilst suffering from diphtheria, the nature of the illness
not being recognised. In 293 cases there were children in the house invaded who were
attending school. In 51 instances the histories showed the presence of cases of "sore
throat" amongst the inmates of the houses in which the patients were resident, and
in 38 instances there was evidence pointing to infection from previous cases in the
Borough. In 330 instances the houses were occupied by members of more than one
family, in 101 by single families and in 23 the cases occurred in artisan's dwellings
of the block type. In 242 the sanitary condition of the dwellings was satisfactory,
in 80 fairly so, and in 105 it was unsatisfactory.
The cases certified as diphtheria in the Metropolis numbered 12,285, being at the
rate of 2.7 per 1,000 population. The deaths numbered 387, the death-rate being
0.09 per 1,000 and the case mortality 3.1 per cent.
ENTERIC FEVER.
Four cases were certified, three of which were paratyphoid. One of these, a case
of paratyphoid in a male of 27 years, proved fatal. In no case was information
obtained as to the source of infection.
The cases certified in London numbered 329, being at the rate of 0.07 per 1,000
population. The deaths numbered 27, the death rate being 0.006 per 1,000 and the
case mortality 8 per cent.
ERYSIPELAS.
The cases certified as erysipelas numbered 62, with three deaths.

The deaths from erysipelas were at the rate of 0.06 per 1,000 inhabitants and
97 per cent. of the cases certified terminated fatally.