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18
The incidence of the attacks was heavier amongst females, but the mortality
was greater amongst males, as the following table shews:—

From the above table it will be observed that the cases were most numerous in
the Haggerston sub-district, but that the case-mortality there was least.
Of the 592 cases notified, 255 or slightly under 60 per cent., were treated in
hospitals of the Metropolitan Asylums Board, as compared with 65 per cent. in
1894. The weekly numbers of notification of scarlet fever were below the mean for
the year up to the beginning of July; an increase occurred which lasted until the
last week in August, when the number was again below the mean. There was,
however, a rapid increase again in the first half of September, and the weekly
numbers of cases notified remained above the mean until the end of November.
A gradual decline in the amount of the disease continued through December. The
maximum number of cases notified in any one week was in that ending October 26th,
when 23 cases were brought under my notice.
According to the Annual Summary published by the authority of the Registrar
General of births, deaths and marriages, the number of deaths attributed to scarlet
fever in the Metropolis during 1895 was 829, as compared with 1,596 and 962 in
the preceding two years. The death-rate for the year from this disease was 0.19
per 1,000. Of the 829 deaths, 571 or 69 per cent. occurred in public institutions.
DIPHTHERIA (including Membranous Croup.)
During the year 244 cases of this disease were notified as compared with 303
in 1894, and 513 in 1893. The fewest cases occurred during the months of January,
February, March and April, the weekly numbers of cases notified then rose slightly,
but remained fairly constant until the end of the year—the largest number of cases
no ified in any single week was in that ending November 23rd, when 13 cases were
reported. The deaths, which were 149 in 1893, and 76 in 1894, fell this year to 59.