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German Hospital, and then to add on the proper rate of death
for the number of inmates, and the pro rata number of deaths
in the London hospitals and prisons. This gives 2,423 instead
of 2,464 deaths for the district, which is at the rate of 10 deaths
in each 511 inhabitants, or 199 per 10,000 inhabitants. The
death rate for the whole of London was 241 per 10,000 inhabitants,
so that the public health of Hackney was unusually
good during this year.

In a sanitary point of view, this year has been remarkable
for the termination of the most severe epidemic of scarlet fever,
and the commencement of the most widely extended fatal
epidemic of small pox, which have occurred since the passing of
the Metropolis Local Management Act, 1855. In the report for
1856, I stated my opinion, that the removal of nuisances would
not prevent epidemics of zymotic diseases, that is to say, of
small pox, scarlet fever, measles, whooping cough, fever, &c.,
from breaking out at their ordinary periods. In 1856, small
pox was epidemic in Hackney, slightly so in 1859, far more
seriously in 1863, next in 1866-67, and now in 1870-71.
Measles in 1856, 1860-61, 1864, 1868-69. Scarlet fever in
1855-56, 1859-60, 1863, 1865, and very seriously in 1869.
Whooping cough in 1858, 1861-62, 1866 and 1869. Fever in