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13
PUERPERAL FEVER.
Eleven cases were certified, two of which terminated fatally; nine were
removed to hospital. The cases certified were at the rate of 5.0 per 1,000 births as
Compared with 3.9 in 1926, 4.9 in 1925, 3.9 in 1924, 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 numbered 265,
and were at the rate of 3.5 per 1,000 births. The deaths in Shoreditch were at the
rate of 0.91 per 1,000 births as compared with 1.3 for London.
PUERPERAL PYREXIA.
Puerperal pyrexia as defined in the Public Health (Notification of Puerperal
Fever and Puerperal Pyrexia) Regulations, 1926, means any febrile condition
other than puerperal fever, occurring in a woman within 21 days after childbirth
or miscarriage in which a temperature of 100.4° Fahrenheit or more has been sustained
during a period of 24 hours, or has recurred during that period. Thirty-four cases
were certified, of which twenty-three were removed to hospital. Consultations with
obstetric specialists, for which provision is made in the regulations above referred
to, were held in 7 cases.
DIARRHŒA.
Three deaths were attributed to diarrhœa and 7 to enteritis. All these deaths
were of infants under one year, and were at the rate of a little under 0.1 per 1,000
population or 4.6 per 1,000 births.
The deaths from diarrhœa and enteritis in children under two years, in the
Metropolis numbered 552 the death-rate being 0.12 per 1,000 inhabitants.
MEASLES.
The deaths numbered 7, this being greatly below the average for recent years.
The deaths from this disease numbered 25 in 1926, 34 in 1925, 58 in 1924, 23 in 1923,
in 1922, 18 in 1921, 50 in 1920, 12 in 1919, 72 in 1918, 139 in 1917, 33 in 1916, and
67 in 1915. Four of the deaths were amongst males and three females. All were
amongst children under five years.
The death rate was 0.09 per 1,000 as compared with 0.23 in 1926, 0.32 in 1925,
in 1924, 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. The deaths during 1927 were mostly during
the first three months of the year. Four of these deaths occurred in Whitmore Ward
and one each in Church, Kingsland and Acton Wards.
Some 20 cases were nursed by nurses from the Local District Nursing Association
in accordance with arrangements made by the Borough Council with the Association.
The nurses paid 141 visits in connection with the cases. The number of cases removed
to the hospitals of the Metropolitan Asylums Board was 106.
B