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249
[1902
proportion will be found to contrast very favourably with other metropolitan
boroughs, as will subsequently be seen.
In the Sub-Registr\tion Districts.—In Tufnell sub-district 12 cases
occurred in Upper Holloway 32, in Tollington 28, in Lower Holloway 43, in
Highbury 30, in Barnsbury 77, 10 of which were brought into the district while
ill, and in South-east Islington 95. These cases bore the proportion to every
10,000 of the population as follows :—
Per 10,000
Inhabitants.
Tufnell 3.69
Upper Holloway 9.30
Tollington 8.14
Lower Holloway 10.36
Per 10,000
Inhabitants.
Highbury 4.65
Barnsbury 14.16 or 1232
South-east Islington 12.56
The proportion in Barnsbury should be 12.32 per 10,000 of its population,
because ten cases were brought into the district from the Salvation Training
School in Hackney while ill, but at a time when the disease had not been
positively identified.
Intensity of the Disease in London.—The returns of the Medical
Officer of Health for London published by the Registrar-General in his
quarterly reports show that 9,151 cases were notified These represent an
attack-rate of 20.6 per 10,000 of the population or 11 2 per 10,000 more than
the attack-rate of Islington. Naturally the incidence of the disease varied
considerably in the various districts, and an examination of the returns shows
that it ranged from 3.1 in Hampstead, 5.9 in Chelsea and Wandsworth, 6.3 in
Kensington, 7.4 in Fulham, and 7.5 in Lewisham to 30.3 in Finsbury, 38.9 in
Shoreditch, 41.3 in Poplar, 42.3 in Bethnal Green, 51.3 in Stepney, and 73.1
in Holborn.
Intensity in the Districts Encircling Islington.—In Hackney the
attack-rate per 10,000 inhabitants was 20.8, in St. Pancras 26.1, in Finsbury
30.3, in Shoreditch 38.9, with which the attack-rate in Islington of 9.4 compares
very favourably.
Mortality and Fatality.—The total number of deaths registered was 61,
which represent a fatality rate of 19.2 per cent. of the cases.
State of Vaccination of the Persons Attacked.—Of the 317
persons attacked, 236, or 74.4 per cent. were vaccinated ; 65, or 20.5 per cent.
unvaccinated; and 16, or 5.0 per cent. were persons whose condition as to
vaccination could not be ascertained.
Among the 236 vaccinated cases, 29 deaths occurred, representing a fatality
of 12.29 per cent,
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