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and from diarrhœa, 36.5. These results are very satisfactory,
especially as the number of deaths from these diseases was in
excess in all London during 1887, having been 12,684 against
11,121 in 1886, and 154.3 per 1000 deaths from all causes,
against 140.4 in the Hackney District.
I now propose laying before you a report on each case of
small-pox that has occurred in the district, and some important
tables respecting scarlet fever, taken in part from the Fortyninth
Report of the Registrar-General on Births and Deaths,
and some important conclusions which he has arrived at from
an examination of these and other tables, which I do not think
it necessary to extract.
Small-pox.—The details of the cases that have come to my
knowledge during the year are as follows:—The first case was
that of a female, aged five months,who was removed to the hospital
on April 21st. I made careful enquiries of the mother, but
could not obtain any information as to the source of infection.
She said that the child had not been taken out since she was
nine weeks old, when she was vaccinated ; that she herself had
not been out of the neighbourhood during all this time, and
had not had any visitors. No other case occurred in the house.
The second case was that of a female, thirty years of age, who
came into this district on April 27th, from Dewsbury, which
place she left on the 26th. She was taken ill on May 5th, and
was removed to the hospital on May 7th, the rash having
appeared on that day. Before she went to Dewsbury she had
been at Stockton-on-Tees from April 9th to the 22nd, in a
house where there were four cases of modified small-pox, so
that the period of incubation of the disease was at least twelve
days. The third case occurred also in May, in the person of
a married woman who came into this district from the Hackney
Road, on April 28th. She sickened on the 9th of May, the rash
appeared on the 13th, and she was removed on the 14th to the