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5
quarter of last year. As the above figures represent only the
deaths which actually occurred in the parish, no cognizance
being taken of the infectious cases removed to extra-parochial
hospitals, it is obvious that they do not indicate the extent
to which zymotic disease prevailed in the parish, and that
any death-rate based upon them would be misleading. In
London the death-rate from these diseases was equivalent to
an annual rate of 2.9 per 1,000 inhabitants. In the 27
largest provincial towns it ranged from 1.15 in Huddersfield
to 8.93 in Sunderland. In England and Wales the deaths
corresponded to an annual rate of 2.37 per 1,000, against an
average rate of 2.93 for the ten preceding fourth quarters.
Smallpox caused no death in Paddington, nor was any
case sent to the hospitals. In London during the quarter
there were 38 deaths.
Measles caused 7 deaths, corresponding to an annual
rate of 0.26 per 1,000 inhabitants. In London the rate was
0.78 per 1,000. In Sunderland it was 4.85.
Scarlet Fever caused 4 deaths, being at the annual rate
of 0.15 per 1,000 persons living in the parish. 8 cases—6
from St. Mary's, and 2 from St. John's sub-district—were
removed to the hospitals; 6 were sent to Stockwell, 1 to
Hampstead, and 1 to the London Eever Hospital. In London
the rate was 0.82 per 1,000, in Gloucester it was 8.55. This
disease is almost invariably most fatal during the fourth
quarter of the year. It was so in 1882, when, however, the
rate during the fourth quarter was lower than that in any one
of the corresponding quarters of the last ten years.
Fever.—Of the 10 deaths ascribed to fever, 9 were due
to typhoid and 1 to simple continued fever ; 6 of the 9 cases