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32
these ages." It may be added that, in a subsequent report,
the Registrar-General stated that the one death of a vaccinated
child from small pox . occurred so soon after vaccination, that
the child must have been infected with small pox six days
before it was vaccinated.
It only remains in concluding this portion of the report to state
a few salient particulars bearing on the rise and fall of the
epidemic, and the deaths due to it.
The total number of cases recorded in my department from
2nd October, 1876, to 30th September, 1877, was 421. Of these
292 occurred in the North. and 129 in the South Sanitarv District.
The subjoined table shows the monthly number of cases recorded in
each district; but it should be mentioned that not a few of the
cases were not heard of till they had been completed, so that they
really belong to an earlier period in the epidemic than that
assigned to them.

Two hundred and ninety-five of the cases were removed to the
hospitals—nearly all of them to the hospitals under the management
of the Metropolitan Asylums Board—while 126 were treated at
home. The deaths "at home" in the 12 months from October,
1876, to September, 1877, were 26, while the deaths in the
hospitals were 58. The rate of mortality, therefore, at home (in
known cases) was 20.6 per cent.; at the hospitals 19.7 per cent.
Of the cases in the North 144 were above and 148 below 15
years of age, while in the South District the attacks over 15
years were 109, as against 20 under that age.