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140
Enteric Fever.— During the year under consideration 3 cases of
enteric fever and 2 cases of paratyphoid B fever were notified.
This shows a decrease of 9 on the number of cases that occurred
during 1935. The attack-rate was 0.02 per 1,000 inhabitants,
compared with 0.06 for England and Wales.
All the cases were removed to hospital. There were no deaths
from this disease during the year.
During the year 2 specimens of blood and 9 specimens of faeces
from persons suspected to be suffering from enteric fever were
submitted to bacteriological examination. All gave a negative
result.
Puerperal Fever.— There were 19 cases of puerperal fever
notified during 1936; all but one of these occurred in or were
removed to hospital.
None of these patients lived in a house in which there had
occurred recently a case of scarlet fever.
The attack rate for the year was 6.10 per 1,000 total births as
compared with a rate of 3.27 in England and Wales. The deaths
from puerperal sepsis numbered 1, giving a death rate per 1,000
total births of 0.32 as compared with 1.34 for England and Wales.
Puerperal Pyrexia.— During the year 75 cases were notified.
Seventy-three cases occurred in or were removed to hospital. The
attack-rate was 24.10 per 1,000 total births, as compared with
9.64 in England and Wales. The higher incidence of puerperal
pyrexia in Hackney as compared with the country as a whole is
due to some extent to the allocation to this Borough of cases
occurring among unmarried women having no permanent address,
who are admitted for confinement to the Salvation Army Mothers'
Hospital, Clapton, from Rescue Homes in the Borough. Further,
many of the notifications are received from institutions where, of
course, the precautions taken would naturally result in the detection
of pyrexia in the early stages of the lying-in period.
The services of the Council's Consultant Obstetricians were
required by general practitioners on only one occasion during the
year.