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52
Erysipelas.
67. There were 110 cases of erysipelas notified, compared
with 58, 74, 83, and 110 in the four preceding years. There
were six deaths. The case rate was 0.85 and the death rate 0.04.
These rates are the highest since 1900.
Epidemic Cerebro-Spinal Meningitis.
68. In consequence of the serious epidemic of this disease in
certain towns in Ireland and Scotland, cerebro-spinal meningitis
was made a notifiable disease under the Public Health (London)
Act by the London County Council. Only one case was notified
in the Borough, which proved fatal. It seems probable that the
disease is always present in London, but is not usually distinguished
from other forms of meningitis.
Puerperal Fever.
69. There were six cases of puerperal fever notified, compared
with two, five, twelve, and eight in the four preceding years.
There was one death. The case rate was 0.04 and the death-rate
0.01. The case-rate has only twice, and the death-rate has never
been lower since 1891. The death-rate has twice been as low.
One case was attended in confinement by a qualified medical
man, and seven by midwives. The London death-rate was 0.03.
In no case was there any ground to suppose that infection was
conveyed by the professional attendant from a previous case.
Influenza, Bronchitis, Pneumonia.
70. Influenza caused 30 deaths, compared with 62, 22, 60, 27,.
23 and 33, in the six preceding years. Bronchitis and pneumonia
caused 298 deaths, compared with 299, 258, 278, 255 and 265, in
the five preceding years (re cause of increase see "Infant
Mortality").