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49
1904
SMALL POX.
There was only one death registered from Small Pox during the year,
although 17 cases of the disease were notified.

MEASLES.
To Measles were ascribed 181 deaths, of which 19 were registered in
Tufnell sub-district, 22 in Upper Holloway, 14 in Tollington, 35 in Lower
Holloway, 19 in Highbury, 42 in Barnsbury, and 30 in Islington South East.
The death-rate represented 0.53 per 1,000 of the population.
Fifty-one of these deaths were recorded among children under a year old,
117 were between this age and five years, and 13 were children over five years.
Twenty deaths occurred in the first quarter, 75 in the second, 56 in the
third, and 30 in the fourth quarter.
The return was 11 below the corrected average of the preceding nineteen
years.
No fewer than 170 out of 181 deaths, or 94 per centum, were certified as
being contributed to by secondary causes. Of this large number 124 were
due to Pneumonia and 24 to Bronchitis, thus indicating, to a very large extent,
a want of careful nursing and management of the patients, a fact on which
stress has been frequently laid in these reports.
The mortality now reported is the highest that has occurred since 1898,
when 325 deaths were recorded.
The returns from this disease show that a very considerable number of
lives are sacrificed by it annually, and which demonstrate that it is not
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