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by a Medical Officer of the London County Council. Several
doubtful oases were seen by the Medical Officer of Health, on
request of the medical attendant, and when the former had any
doubt as to the diagnosis a bacteriological examination was
made.
PUERPERAL FEVER.
52. There were 12 cases of pierperal fever notified, compared
with 2, 8, 7, 6 and 16 in the five preceding years.
There were six deaths. The case-rate per 1,000 births was
4*44 compared with 2.14 and 3.25 in the two preceding years.
The death rate was 2.22 compared with 1.05, 1.07 and 1.13 in
the three foregoing years. The London case-rate and deathrate
per 1,000 births were 2.47 and 1.48 respectively.
53. Irfluenza caused 29 deaths compared with 25, 35, 25.
33 and 29 in the five preceding years. Bronchitis and pneumonia
caused 294 deaths, compared with 208, 253, 285, 380 and
290 in the five preceding years.
There was again a fall in the deaths from bronchitis
and pneumonia in adults but an increase under five years. The
increase in children was probably due to increased mortality
from measles. The epidemic wave causing an increased mortality
from respiratory and tuberculous diseases is slowly ebbing.

TUBERCULOSIS
54. Deaths. There were 207 deaths from tuberculous
disease, giving a deaths-rate of 1.41, compared with 1.34, 1.69,
1.68, 1.72 and 1.48, in the five preceding years.
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