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aged 65 years and upwards. In London generally the disease was
considerably less prevalent in 1910 than in 1909, 723 deaths being
registered as due to this cause in 1910, as compared with 1,213 in 1909.
Of the fatal cases in London in 1910, 375 occurred in the first quarter of
the year, 110 in the second, 57 in the third, and 181 in the fourth
quartar. The month of greatest prevalence was February.
Respiratory Diseases.—The death-rate from these diseases in Chelsea
in 1910 was 2.19 per 1,000, as compared with 3.15 per 1,000 in 1909.
The London death-rate from respiratory diseases (including pneumonia)
in 1910 was 2.62 per 1,000.
Tubercular Diseases.—The death-rate from phthisis and other
tubercular diseases in Chelsea in 1910 was 1.52 per 1,000, as against 1.89
per 1,000 in 1909. The death-rate in London from these diseases in 1910
was 1.57 per 1,000. Of the 89 deaths from phthisis in Chelsea in 1910,
39, or 43.8 per cent., occurred in the Chelsea Workhouse Infirmary, and
10, or 11.2 per cent., occurred in other public institutions, making a total
of 55 per cent. of the total of 89 cases dying in public institutions away
from their own homes. The average for the ten years, 1900-1909, is 44
per cent. in the Chelsea Infirmary, and 15 per cent. in other public
institutions, making a total of 59 per cent. of the total deaths.

A similar table for the 19 years, 1891-1909, appeared in the Annual
Report for 1909, and was the subject of comment. Now that the fourth
quinquennium has been completed, it will be seen that the decline in
mortality from tubercular diseases in both sexes and at all ages up to 45
years in males and up to 55 years in females, has been a marked feature
of the past five years. The death-rate of females from tubercular diseases
is now rather less than half that of males, the differences in death-rates
being specially marked in all the age-periods after the age of 25.