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I am happy again in being able to call attention to the fact of there having
been no fatality attending Small-pox, and that but very few cases came under
treatment in the sub-district, although, as is well known, it has been very
prevalent and fatal in other metropolitan and suburban localities during the
past year. The mortality of the young under 10 years of age has been
great, and of those under 5 it has been unusually large, viz., 61 in 1859,
against 41 in 1858, and 40 in 1857.
The births in the year, as stated in Table II, Appendix, numbered 238.
The deaths, as I before mentioned, were 169 ; the excess of births over deaths
in the year 1859 is accordingly 69.
Table IV, Appendix, exhibits the number of cases treated by the Union
Medical Officers of this sub-district, and the number of deaths amongst
the out-door poor, which is very instructive and satisfactory, as showing a
very low rate of mortality (19) in the number of cases of sickness, &c., (299)
that came under treatment.
In all three localities comprised in this sub-district a number of sanitary
improvements in the way" of drainage, water supply, removal of nuisances,
&c., (vide Table V. Appendix) have been carried out, as I believe to the great
advantage of the inhabitants and to the vast improvement of the individual
parishes. In conclusion, I would repeat the earnest hope I expressed in my
last Report, that a continuation of efforts in the same direction may confer
still further sanitary benefits upon this important sub-district.
D. C. NOEL,
Medical Officer of Health for Streatham, Tooting, and Balham.
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