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24
in the other houses did not spread beyond the first case, and it
is quite possible that some of the children had really suffered
from membranous croup.
Fever. The deaths from the 3 diseases grouped as " fever,"
were 32, viz., 28 in the Town sub-district and 4 in Brompton ;
the decennial average, corrected for increase of population,
being 38.7.
Typhus. One death from typhus occurred at Princes Place,
Notting Hill. The patient, a fishmonger's assistant, was too ill
to be removed when first seen by the district medical officer, and
the disease, which ran a rapid course, terminated fatally in five
days. The room was disinfected, and there was not a second
case.
Enteric Fever was the registered cause of 25 deaths—viz., 22
in the Town sub-district and 3 in Brompton. Two of the
deaths allocated to the Town sub-district occurred in hospital.
This disease was, as usual, very prevalent in the Metropolis in
autumn ; we had our share, but mainly confined to the northwestern
part of the parish. Of the 25 deaths, 4 were recorded
in my first monthly report, dated January 28, and 13 in the
last three reports—November 4 (5 deaths), December 2 (5
deaths), and December 30 (3 deaths). There were not wanting
illustrations of that want of accuracy in diagnosis in relation to this
disease, to which I have adverted in former reports. Sometimes
the existence of the disease was overlooked, and sometimes
other diseases were certified as enteric fever. I have added to
the tale of deaths one in which a jury returned a verdict of
" perforation of the intestines " as the cause of death. The
subject was a female, who refused to have medical attendance.
Post-mortem examination revealed ulceration, characteristic
of enteric fever, and as the cause of the perforation. One of
the fatal cases was imported from the Isle of Wight.
In my eleventh report, dated November 8,1 stated that 18 cases
of enteric fever had been recorded since the end of September ;