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Compared with the undermentioned foreign cities the death rate in London from measles was,
during the period 1885.94, in excess of that of all these cities except St. Petersburg, and in 1895
was higher than that of any of these cities.

In London in 1895 the eastern districts as a whole suffered more heavily from measles than
other groups, but the highest mortality (2.55 per 1,000 of population) occurred in St. Luke, one of
the central districts of the county, the adjoining districts of Holborn and Clerkenwell also suffering
severely, and having death rates respectively of 1.44 and 1.41 per 1,000 of population.

The annual reports of the medical officers of health of the several districts contain the following
information—
Kensington—The medical officer of health refers to his report for the year 1891, in which ho
discusses the question whether the notification of measles should be required, and states that he has
since seen no reason to modify the views therein expressed unfavourable to the proposal under
existing conditions.
See footnote (1), page 10. See footnote (2), page 10.