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23
I append a Chart shewing the marked rise and fall of the notifications
and the deaths from this disease in Bow during the year.
In London generally in 1893 there were no less than 13,791 notifications
of diphtheria, of which 1149, the largest total of any parish,
came from the Poplar District; the deaths numbered 3196, of which
168 were recorded against the Poplar District. In Hackney the
disease was the most fatal, there being 206 deaths against 200 for
Islington, and 201 for St. Pancras; Poplar being the fourth highest
Lambeth coming in between with 185.
In Bow for the four quarters the deaths were respectively, 20, 15,
28, 23, total 86; and in Bromley for the first three months the deaths
were 6. The annual death rate from diphtheria, including membranous
croup, in Bow was therefore, 2.21, a fact which should be
seriously taken into consideration, because it is the highest local
death-rate from any zymotic disease. The great and steady increase
on the figures for last year will be seen by a reference to the table
given below. The deaths returned as due to membranous croup
were in Bow for the year 5, as against 6 for 1892, and none for the
first 3 months in Bromley.

N.B.—In every instance where the word "diphtheria" is used it
includes membranous croup.
Diarrhœa and Cholera.
For the first three months in Bromley and for the whole year in
Bow we show a clean sheet as regards cholera, no death being