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mission on the production of tuberculosis by means of food has given
an impetus to this desire. The conclusions of the Commissioners I
give in the appendix. It may be said that tuberculous disease is
mostly kept up by infection from person to person and by the ingestion
of tuberculous food; and its prevalence will only be reduced by
the education of the public in the mode in which this disease spreads,
and the precautions necessary to prevent its spreading. Fortunately,
precautions may be adopted which are both simple and
effectual. A leaflet has been prepared recently for distribution on
this subject describing the manner in which the disease is communicated
and indicating the precautions which should be adopted
to prevent its spread.
The danger from tuberculous food would be much reduced if the
recommendations of the Royal Commission above referred to were
adopted. (See appendix.)
Class III.
Developmental.—The deaths in this class numbered 3.53
which are equal to a mortality rate of 1.6 per 1,000 living.
Class IV.
Local Diseases.—This class of diseases was responsible for
1776 deaths during 1898. These are equivalent to a death-rate of
8.0 per 1,000 living.
Class V.
Violence.—The deaths in this class were 143, an increase of
26 upon the previous year. Of the total deaths 4 were homicides
and 18 suicides. The death-rate is .65 per 1,000 living.
Class VI.
Ill-defined Causes.—The deaths in this class numbered 206,
which are equal to a mortality-rate of .93 per 1,000 living.
PUBLIC HEALTH (LONDON) ACT, 1891.
During the year 4075, nuisances were abated under the powers
of the above Act. Intimation and statutory notices secured the
abatement of 3962; and legal proceedings were necessary for the
abatement of the remainder. The question of responsibility for the