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36
Dysentery.
Three cases of Dysentery were notified during the year. Two were
young sisters aged 2 and 5 years, who had been ill for three weeks when
notified, and who were then well on the road to recovery. Neither were
removed to hospital, and there were no further cases.
The third case was a married woman aged 45 years, who worked in a
small general milk and food shop. It was not possible to trace the source
of infection. The patient, who was removed to hospital, made a good
recovery, and there were no further cases.
Erysipelas.
The cases certified numbered 51, and there were 7 deaths, 2 males and
5 females. The deaths occurred at the following ages : —
Under 1 year 2
Between 1 and 2 years 1
,, 45 and 55 years 2
,, 55 and 65 ,, 1
,, 65 and 75 ,, 1
The age, seasonal and ward distribution of the cases are included in the
table on page 26.

Twenty-two cases were moved to Hospital, mostly to St. Leonards,
during the course of the year.
Administrative measures have for their object the securing of adequate
treatment, the discovery of the source and the prevention of the spread of
infection. A case of erysipelas in the house is a source of danger during a
confinement or the puerperium, and enquiries are accordingly made and
steps taken to safeguard against this danger.
Puerperal Fever.
Nine cases were certified, six of whom were removed to Hospital.
There were no deaths. If reference is made to the final diagnosis made in
cases notified as puerperal pyrexia, it will be seen that nine of these were
regarded as puerperal fever. The actual number of cases of puerperal fever
occuring in Shoreditch during 1931 is accordingly eighteen. A comparison
between London and Shoreditch during the last 10 years is contained in the
following table. Under the heading of cases are given numbers of notifications
: —