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It therefore appears that there was a decrease in the Westminster
Union and an increase in St. George's, which was confined chiefly to
St. John's Ward. It is of interest to note the lowness of the mortality
in the Westminster Union group.
The death-rate per 1,000 persons living was 0.08 in London, and 0.05
in Westminster, but calculated per 100 cases the two rates were nearly
identical.
Diphtheria.—One hundred and forty-five cases of diphtheria were
notified in 1904, equal to a rate of 8.2 per 10,000 inhabitants (10.3 in
1903, 15.4 in 1902, and 16.0 in the previous ten years); the rate for all
London was 15.5, also a decreasing one. There were 5 deaths, equal
to a mortality of only 3.4 per 100 cases, as compared with 10 per cent.
in 1.901, 11 per cent. in 1902, and 8.6 per cent. in 1903. The London
rate was 10.2 per 100 cases. The death rate for 1,000 persons was 0.04
for the City, 0.16 for the county.

I referred in previous reports to an apparent connection between
certain cases of diphtheria and sewer emanations in a locality from
which complaints were received that offensive emanations came from