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one year, and in addition to these, the majority of the deaths,
numbering 24, of infants ascribed to Gastro-enteritis and
Gastro Enteric Catarrh were probably of the same nature.
The death-rate from the disease was 0.5 per 1000, and
that for the whole of the Metropolis 0.4.
The rate for the parish compares less unfavourably with
those for other London sanitary districts than it has ever
done, as Fulham has been for many years past invariably
conspicuous by a high mortality from Diarrhcea, the following
being the rates in London and Fulham during the past ten
years:—
1885 to 1891 1892 1893 1894
London 0.69 0.6 0.8 0.4
Fulham 1.1 0.94 1.2 0.5
In fact, during the nine years, 1885—1893, the rate of
mortality from Diarrhcea was higher in Fulham than in any
sanitary district in London, excepting in St. George's in the
East. That it should be in excess of the mortality obtaining
in poor and crowded districts, with populations
containing larger percentages of young children, like Shoreditch,
Bethnal Green, Whitechapel and St. George's,
Southwark, is most unsatisfactory.
In July last the Local Government Board issued a circular
letter, calling the attention of sanitary authorities to the fact
that Cholera, from which certain parts of Europe had never
been entirely free since the Summer of 1892, was again
showing signs of recrudescence on the Continent, and that
as it was found that in those localities where Cholera made
some headway in 1893 there had been antecedent Diarrhcea,
generally quite excessive in amount, often choleraic in type,
they thought it desirable to remind sanitary authorities that
the utmost vigilance should be exercised within their respective
districts to control any Diarrhcea which might be
suspicious, either in character or amount ; and, with a view
of facilitating action in this direction, the Board stated that
they would give favourable consideration to any application
that might be addressed to them for their approval to add
Diarrhcea to the list of notifiable diseases until the termination