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Scarlet Fever.
The cases of scarlet fever notified in the Administrative County of London in 1895 numbered
19,808, compared with 18,495 in 1894. The number of deaths registered from this cause in 1895 was
829, giving.a death rate of 01.9 per 1,000 living per annum.
The London rates in 1895 and previous periods are shown in the following table—

The death rate in each year since 1858 in relation to the mean death rate of the period 1859-95
is shown in Diagram vi.
The scarlet fever death rate of London can he compared with that of other large towns having
a population of more than 200,000 inhabitants by reference to the following table

In the period 1885-94, therefore, the London rate was lower than that of any of these towns
except Birmingham, Nottingham and Hull, and in 1895 was lower than all except those of Leeds,
Sheffield, West Ham, Bristol, Bradford and Hull.
If the London scarlet fever death rate be compared with the death rates of the following ten
foreign cities, it will be seen that in 1885-94 the London rate was higher than all except Copenhagen,
Stockholm, St. Petersburg and New York, but in 1895 the London rate was exceeded by all except
Paris, Brussels, Amsterdam, Stockholm and Rome.

Scarlet fever, 1895—Age and sex distribution.
In the following table will be found the age and sex distribution of the cases of scarlet fever
which were notified during the year 1895, together with the deaths and case mortality at each age. As
in 1894 males at all ages were attacked and died in somewhat greater proportion than females, and the
case mortality of males was higher than that of females. The greatest incidence of disease was in
1895, in males and females alike, on children of four years of age; the greatest incidence of death was
on males of one, and on females of three years of age; the greatest case mortality occurring in males
in the second year, and in females in the first year of life. At most ages in both sexes the case
mortality was lower than in 1894.
* The Infectious Diseases (Notification) Act only came into force in 1889.
See footnote (1), page 10. 2 See footnote (2), page 10.
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