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21
important and wide-spreading sanitary improvements." The average yearly
death-rate in Tottenham in 1871 was 20.6 per 1000; and in 1876 it was
16.8 per 1000. From 1871 to 1873 the average annual death-rate was
19.3 per 1000; and from 1874 to 1876 it was 17.4 per 1000.
It is manifest from the table showing the death-rate for London
and for the Whitechapel District since 1838 that the mortality per 1000
in London, has been reduced from 32.9, the rate of mortality for that
year, to 22.3, the rate of mortality for the year 1876; and in the Whitechapel
District from 42.8 per 1000 to 23.9 per 1000; but, if we examine
the records of fever in this District from 1838 to the present time, it
will be seen that the deaths from this cause are reduced from 368 in one
year (1838) to 48 (1876); including 21 deaths in the Fever Hospital
belonging to the Asylum Board. The reduction of mortality [from fever
may, in a great measure, fairly be attributed to the carrying out of
sanitary improvements.
The following table, which was prepared by the late Mr. John
Smith, shows the prevalence of fever in this District in the year ended
March 25th, 1838.

The extra expense for fever during tbe quarter ending Lady-Day, 1838, I consider
to have been £400.
JOHN SMITH, Clerk to the Board of Guardians.