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The increase in the general mortality is due to the
greater fatality of diseases of the respiratory system.
Diphtheria is prevalent throughout London.
The number of cases of scarlet fever in the hospitals on
November 11th was 3,071, and on November 4th, 2,906.
December 4th, 1893.
During the fortnight that ended on the 23rd day of
November, 107 births and 76 deaths were registered in the
parish. These numbers indicate an annual birth-rate of
32.8, and an annual rate of mortality of 23.3 per thousand
of the estimated population. The corresponding death-rate
in London was 25.4.
Six deaths were recorded from zymotic diseases, viz.: 5
from diphtheria and 1 from whooping cough.
Diseases of the respiratory system caused the large number
of 36 deaths, viz. : 18 from bronchitis, and 18 from
pneumonia.
One death was attributed to influenza and bronchitis.
From diseases of the tubercular order there were 5
deaths, from heart disease 4, and from old age 2.
The number of deaths of children under one year of age
was 27, and of persons aged 60 years and upwards 14.
Five inquests were held. Two deaths were due to accidental
suffocation in bed. Three deaths were uncertified.
The notification of infectious diseases from November
18th to December 2nd, included 42 cases, viz.: of scarlet
fever 20, diphtheria 9, erysipelas 8, enteric fever 2, typhoid
fever 2, and membranous croup 1.
The number of cases of scarlet fever in the hospitals on
November 25th was 3,140, and of diphtheria 311.
I have inspected the works in progress for the construction
of a new sewer in Fendall Street, and report that there
is nothing therein detrimental to public health.