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64
(London) Act. Not a single case was notified last year and
there were no deaths.
3 cases were notified in 1911 and 3 in 1912.
The disease is believed to be due to the presence of a
germ, and to be conveyed from one person to another by
the nasal secretion. Treatment is important to prevent the
contraction and wasting of the limbs which frequently ensues.
It is interesting to note that the Woolwich Invalid
Children's Association dealt with 52 cases of infantile
paralysis last year. It hardly seems as though all the
cases were notified.
PUERPERAL FEVER.
62. There were 7 cases of puerperal fever notified, compared
with 9, 7, 16, 2, and 8, in the five preceding years.
There were 3 deaths. The case-rate per 1,000 births was
2.50, compared with 0.73 and 2.78 in the two preœding
years. The death-rate was l.05, compared with 1.05 and
0.36 in the two foregoing years. The London case-rate
and death-rate per 1,000 births were 3.57 and 1.67
respectively.
In the ten years 1891-1900, the case-rate per 1,000 population
was 0.07, and the death-rate 0.03. In 1901-5 the
case-rate was 0 06, and the death-rate 0.03, and in 1906-10
the case-rate was 0.05, and the death-rate 0 016. There
has been a decided fall in the death-rate from this disease.
Although the apparent fall in the case-rate appears to be
but slight, it is probably just as great as that of the deathrate.
Many cases are now notified which in former years
would have been passed over.