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upon the number notified during 1903, the total for the latter year having
been 636. The attack rate for the year 1904 is, therefore, 3.7 per 1,000
living. The incidence of the disease remained low during the first eight
months of the year, but in the month of September a sudden rise in the
notifications took place, which reached its maximum in the first week
of October. A rapid fall then took place, which was uninterrupted
until the end of the year save by a rise in the last week of November.
The number of notified cases of scarlet fever removed to hospital
was 718, being equivalent to 84.5 per cent, of the cases.

It will be seen from this table that the disease was more prevalent in.
the north and central sub-districts of the Borough. The deaths from
scarlet fever numbered 19, being equivalent to a mortality rate of
nearly 2.3 per 1,000 attacked and .08 per 1,000 persons living. The
character of the disease during 1904 was remarkably mild.
The number of cases of scarlet fever notified in the whole of
London during 1904, was 13,439, and the death rate .08 per 1,000
living.
Diphtheria and Membranous Croup.—There were 566 notifications
of diphtheria and 6 of membranous croup received during 1904,
but of the diphtheria cases 29 and of membranous croup 1 case were
ultimately diagnosed as not being diphtheria. This leaves a total of
542 cases of diphtheria disease, giving an attack rate of 24 per 1,000