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36. There is no reason to connect the occurrence of cases of
Diphtheria with special streets or localities. Of the three streets
which had most cases in 1899, namely, Robert Street, Sandy
Hill Road, and Heavitree Road, the first two had last year one
each, and the third none.
Enteric Fever.
37. There were 39 cases of Enteric Fever, compared with 25
in the previous year. The rate per 1,000 population was 0.57,
which is the highest rate since 1890, with the exception of
1895, when it was 3.67 (see Table V.)
There were 9 deaths, giving a death-rate of 0.13; this rate
was exceeded in 1895, and also in 1893, but otherwise is higher
than any year since 1890.
38. Enteric Fever was more than usually prevalent in
London, where the case-rate was 0.94, and the death-rate 0.15,
both rates being higher than those in Plumstead.
39. The 39 cases occurred in 36 houses situated in 35 streets,
these streets being distributed all over the Parish.
Seven cases occurred in the Reidhaven Road district, three
being in one house. In this case a child was apparently the
source of infection of her father and mother. A list of the
houses is given in Table XIII.
40. One case was a nurse who had been nursing an Enteric
case at West Ham Infirmary.
Another was nursing her sister for the same disease. Eleven
cases had, within a few weeks of the illness, eaten shell fish,
viz., two oysters, four mussels, one periwinkles, and two whelks.
Some of these were in the habit of frequently partaking of
molluscs, but others had taken some just about two or three
weeks before illness commenced i.e., at the usual interval