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it is desirable to take into consideration the total deaths caused by the
disease.
In discussing the mode of infection it is useful to know the part
first affected, but this also is difficult to determine during life, as the
discovery that a certain part of the body is affected does not necessarily
imply that the cause thereof found its way to that spot by the nearest
route. Experiments and careful post-mortem examinations show that
while the chief manifestation of the disease has been in the lungs,
abdomen or head, the original part to be affected may have been a small
gland in some other part of the body.
London.—The first table shows the rates for London as a whole.
Taking phthisis alone the death rate has decreased since 1861-1870.
Deaths from Tubercular Disease.
The Rates are for 100,000 of Population.
The County of London.

Total Tubercular Death Rates.
1891-1895 (5 years' average) 264
1896-1900 (5 years' average) 244
1881-1890 (10 years' average) 297
1891-1900 (10 years' average) 254