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against 225 last year. The death-rate is equal to 0.80 per 1,000 as
compared with a ten years' average rate of 0.74 per 1,000.
Tubercular Diseases.—The deaths from Phthisis, or tubercular
disease of the lung, have already been reported as numbering
337. In addition to these 117 deaths occurred from tubercular
diseases other than Phthisis, equal to a death-rate of 0.40 per 1,000,
the ten years' average being 0.59 per 1,000.
Puerperal Fever.—Fourteen cases of this disease were
notified during the year, and four proved fatal, giving a case mortality
of 28 per cent. The attack rate (0.04 per 1,000) was below the
average rate for the previous ten years (0.05 per 1,000), while the
death-rate (0.01 per 1,000) was considerably below the average for ten
years (0.03 per 1,000).
Midwives Act, 1902.—The Midwives' Roll for 1910 contained
the names of 374 Certified Midwives residing in West Ham,
being an increase of 16 on the names on the Roll for the previous
year, which numbered 358.
Onty 58 midwives sent in notice of their intention to practise
during the year in accordance with Section 10 of the Act.
148 records of sending for medical aid were received from
41 midwives, and the causes which induced them to require assistance
are detailed as under:—
Patient unsatisfactory, first stage 4
„ „ second stage 36
„ „ third stage 5
Transverse presentation 6
Mal „ 4
Brecch „ 2
Face „ 3