Page image

H.--31

11

Puerperal Septicemia. The following table shows the course of this disease for the quinquennium, 1918-22: —

Puerperal Septicæmia in New Zealand, 1918-22.

It is well known that the returns of notifications in puerperal septicaemia are, as a general rule, far from complete. The marked rise in the notification-rate for 1921 and 1922, therefore, does not necessarily indicate an increased prevalence of the disease for these years, but represent rather an increased observance of the laws regarding notification. The returns of deaths provide a more accurate presentation of the position. The fact that 1922 has the second-lowest death-rate of the series is so far satisfactory, although there is no ignoring the fact that New Zealand occupies an unfavourable position as regards this disease in comparison with other countries. Influenza. The year under review was noticeable for its low incidence and general mildness of influenza. The figures for the severer types of this disease (the pneumonic, septicsomic, and fulminant varieties) ere 216 notifications and 23 deaths in 1922, as compared with. 295 notifications and 105 deaths in 1921. Acute Primary Pneumonia. This also was less prevalent than in 1921. In 1922, 946 cases were notified, as compared with 1,029 cases in 1921, and 1,933 cases in 1920, the first complete year for which figures are available. Fuller information concerning the distribution of the above diseases, together with details of the remaining notifiable diseases, is contained in the subjoined tables.

Table A. —Notifiable Diseases in New Zealand, 1921, showing Distribution by Months.

Notil ications. saths. Year. Number. Rate per 1,000 Live Births. Rate per 1,000 Live Births. Number. 1918 1919 1920 1921 1922 76 79 124 178 262 2-94 3-23 4-14 6-23 9-03 48 52 67 48 52 1-86 2-12 2-22 1-68 1-79

I I hi > fH OS 8 > rt <d | I .9 I | s H f CD 1 I a o Ph 1 PhO, Ph i d I a •A J .& "33 | 4 •3 I s i (S 3 JS 1 ! s a 4 II si Sg "SB O 3 rt 3 | '5 o tn g Q O .9 m O O >. I .9 o o H January February March April May June . . July .. August (September October November December 104 103 140 185 103 125 147 132 132 80 65 73 171 28 127 29 179 27 210 157 21.7 87 212 43 202 19 182 36 143 33 143 28 86 27 117 25 28 29 27 157 87 43 19 36 33 28 27 25 92 59 85 70 93 110 102 105 85 128 102 92 1 3 4 1 4 2 5 .1 6 5 7 3 21 20 21 14 4 5 3 2 2 3 2 1 28 14 27 19 26 16 19 21 26 26 18 22 15 13 14 8 12 10 33 24 35 26 14 12 29 28 51 52 62 78 loo 173 105 119 91 58 15 15 18 36 37 31 31 22 25 22 9 10 2 3 4 o 1 2 2 2 4 2 1 1 2 2 1 2 .. 2 . . 4 2 3 .. 2 3 .. 3 3 I I 1 3 4 9 3 12 2 3 3 3 I .. 3 I 3 9 12 3 3 1 * .! 4 . 509 . 420 570 770 71 I 040 070 717 001 595 428 426 3 2 (i 3 8 3 3 2 2 2 2 i 2 Totals, 1922 1,449 1,989 539 539 1,129 42 98 262 216 940 : 271 30 22 7 20 30 36 2 4 1 7,075 Totals, 1921 1,845 2,611 451 451 1,207 56 267 178 295 1,029 : 228 36 21 12 35 23 23 2 1 2 8,299