View report page

with this question fully in my report for 1891, (pages 97 to
106), and have since seen no reason to modify the views
therein expressed unfavourable to the proposal under existing
conditions.
SCARLET FEVER.
The notified cases of scarlet fever in Kensington were 525,
against 715, 957, and 390, in the preceding three years, viz.,
346 in North Kensington, and 179 in South Kensington. The
deaths were 27 (corresponding with decennial average); 23,
and 4 in the Town and Brompton sub-districts respectively.
Twenty-one of the deaths were of children under five years of
age, including 4 under one year. The remaining 6 deaths
occurred between the ages of five and fifteen. Fifteen of the
deaths took place at outlying public institutions, to which 358
cases were removed, and 12 at the homes of the sufferers.
The case-mortality was 5.1 per cent., viz.: 7.2 per cent, in
home-treated cases, and 4.2 per cent, in hospital cases.
Usually the mortality in home-treated cases has been less
than in hospital cases. The deaths in the Metropolis as a whole
were 829 (compared with 1,174, 1,596, and 962, in the preceding
3 years), and were 228 below the corrected decennial average
(1,057). Of the 829 deaths, 571, or 69 per cent., took place in
public institutions. The deaths corresponded to an annual rate
of 0.19 per 1,000 of the population, or 0.05 less than the average
rate in the previous decennium. The notifications corrected
for duplicate returns were 19,757; compared with 18,440 in
1894, 36,901 in 1893, and 27,096 in 1892. The casemortality
was approximately 41 per cent, compared with a
rate of 5.2 per cent, in 1894; 4.3 in 1893 ; and 4.2 in 1892. The
following table shows the progress of the disease, in the parish,
and in the Metropolis, as a whole, as evidenced by the number
of the cases and the deaths recorded in the thirteen successive
periods covered by my four-weekly reports.