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24th, 14; and on the 25th, 36. Between the 23rd
and 31st of July, 124 cases in all were removed
from this District alone. Previous to the 23rd of
July, only 3 cases bad occurred since the beginning
of the year. The origin of the outbreak was the
case of a young man, son of a grocer in Henry
Street, who was notified to be ill with the disease on
the 6th of July. He was not removed, on account
of the severity of his case. Many of the earlier
cases were in persons accustomed to deal at the
grocer's shop in question. In August, 87 cases
were removed from Marylebone, but the majority of
these were from another part of the Parish. This
second outbreak appears to have been due to neglect
of precautions in respect of a case in the person of
a youth of weak intellect. Such neglect does not
appear to have occurred in the former case in
Henry Street.
For the protection of the districts in the Bast
of London, the Board received cases from West
Ham, which is outside the Metropolitan area.
Ambulance Work.—The Board is, under the 79th
section of the Public Health (London) Act, 1891, the
Ambulance Authority for the Metropolis, for the
removal of infectious cases to all places in or outside
the Metropolitan area, as well as to the Board's
Hospitals. During the year, 29,688 removals were
made by the Land Service, involving 19,796
journeys, with a mileage of 203,820 miles. The