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38
complications to be feared as likely to lead to fatal results. The
sick are also advised to resort early to medical aid in every case,
for the determination of the real nature of the disease and to
avoid the more serious complications previously referred to.
Influenza was very prevalent throughout London during the
year, the deaths recorded numbering one thousand eight hundred
and seventeen. The disease first became epidemic in England in
the winter of 1889-90 ; it recurred in epidemic form in the spring
of 1891 and was maintained up to June of that year; a third
epidemic took place in the winter of 1891-92 and after a minor
recrudescence in the spring of 1893, a fifth prevalence on a wide
scale took place in the winter of 1893-94. Several more or less
severe epidemics have since prevailed, but not since 1895 until
this year was the mortality so high in the Metropolis, the deaths
exceeding the decennial average by five hundred and forty-five;
this epidemic moreover appears to have been the forerunner of
an unusually severe outbreak of Typhoid Fever throughout the
Metropolis, similarly affecting this Parish.
Notifiable Zymotic Diseases.
With the exception of Enteric Fever, the mortality returns
are highly satisfactory concerning notifiable zymotic diseases.
The subject is, however, dealt with in detail under "notifications"
on pages 42 to_ 62 of this report.
CORONER'S INQUESTS.
During the year 1899, two hundred and ninety-nine deaths
occurred either of a sudden or violent character, and it was
necessary to refer the same to the Coroner before interment
could be permitted. In forty-nine instances he did not deem
further enquiry necessary, and they are therefore recorded in the
Registrar's Returns as " submitted to Coroner." In the remain-