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10
ON THE SANITARY CONDITION OF
The notifications received were at the rate of 4.5 per
1,000 of the population, against 11.3, 7.3 and 3.4 in the
three preceding years respectively. Throughout the
Metropolis the average rate was 9.7 per 1,000 for 1894.
80 of the Strand cases (71 per cent.) were removed
to fever hospitals, as shown in detail in Table II.
(Form B). The amount paid for 118 certificates
notifying the existence of 114 cases of infectious
disease was £10. 9s. 6d.
Smallpox.—1,391 notifications of this disease were
made during 1894 in the Metropolis, 417 of which
were in Marylebone Parish. Several persons from
infected families worked in the Strand District, but no
cases appear to have arisen through them. Five cases
did occur in the District in two families, one child
(unvaccinated) in St. Mary-le-Strand Parish, 4 adults in
one house in St. Anne's Parish, the source of infection
was untraceable; no deaths occurred. Two other cases
were notified, but the medical men subsequently withdrew
their certificates on finding that the disease as it
developed was not smallpox.
Scarlet Fever.—52 cases were notified against 143
in 1893, 38 of these resided in St. Anne's, Soho. In
6 instances 2 cases occurred in the same house, and in
3 instances, 3 cases. Most of the cases were of children
of school age, and several cases were traced to a pupil
attending a private school in the District. Only 1 case
proved fatal.
Diphtheria and Membranous Croup.—2,300 fewer
notifications were received by the various Metropolitan
Sanitary Authorities in 1894 than in 1893 and the
deaths registered from this cause were 2,673 as compared
Avith 3,625. In the Strand District the