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paratively few cases. The lower third would consist of all that portion
of the district to the south of the North London Railway, while the
upper third would comprise all the district to the north of Camden,
Parkhurst, and Seven Sisters' Roads.
There were 902 certificates received from practitioners.
In proportion to population the greatest sickness occurred in the subdistrict
of Islington South East, where the sickness rate was 3·35 per
1,000 inhabitants, while the least (2·24) was in Islington South West.
The disease, which had been very prevalent in the preceding year,
and which had averaged 20 cases per week during December, began the
year by showing a downward tendency. This, however, only lasted
through January, for in February the cases commenced to increase,
although they still remained below the average (14 cases) per week of
the year 1892. In March, April, and May they oscillated considerably,
their movement was uncertain, and hopes were entertained in the lastmentioned
month that the disease would not assume so serious an
aspect as in the preceding year, chiefly because the weekly sickness
curves were not so high.
With the advent of June, however, these hopes were dissipated, and
the curve steadily arose above previous records, and continued to do so
until the end of the year.
In the chart which accompanies this report, the behaviour of the
disease in 1892 and 1893 is given.