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and father, however, were at once vaccinated and isolated,
and though both contracted the disease they had it in a
modified form. I think therefore this outbreak is worthy of
mention as so plainly showing the enormous value of vaccination.
There were 11 cases in all from this first case; but by
vaccination and isolating, not only the patients themselves,
but all those who had been in contact with them, the outbreak
was arrested, and no fresh cases appeared.
Small-pox has never disappeared in London, and is
again at the present time increasing. Last year I wrote to
all the medical men in this District asking them to urge their
patients, who had not been vaccinated for some years, to be
revaccinated at once, and I cannot too strongly urge every
one who can, to use their influence in persuading all persons
to be revaccinated who have not been vaccinated for the last
seven years.
Diseases of the Respiratory Organs.
There was an increase of 4 in the number of deaths
from Phthisis from the previous year.
The total number of deaths from diseases of the respiratory
organs was 335, or 10 less than last year. Of this
number 58 deaths were attributed directly to Influenza, as
compared with 74 in the previous year.
Inquests.
Coroner's inquests were held in 81 cases of death under
peculiar circumstances
The causes of death were returned as follows:—
Natural causes 35
Violent deaths 46
Of these latter 37 were accidental, 8 suicidal, and 1 homicidal.
Twenty-five deaths were registered as "Not Certified."
Marriages.
During the year 1893 there were 521 Marriages in the