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13
The eastern group of districts had, in 1898, the highest mortality from the principal
zymotic diseases, viz., 3.59 per 1,000 living; the western and northern the lowest (2.48). Among
the sanitary districts Limehouse had the highest death-rate (4.26) and St. Martin-in-the-Fields
the lowest (0.88).
Small-pox and Vaccination.
The deaths from small-pox in the Administrative County of London numbered two in 1898,
and eight deaths were attributed to cow-pox and effects of vaccination.

The death-rate in each year in relation to the mean death-rate of the period 1841-98 is shown
in diagram IV

In publishing this table it is necessary to state that the amount of error in diagnosis of
small-pox is so great as to make the statement that 33 cases of this disease occurred in London in
1898 entirely incorrect. The actual occurrences of small-pox in London in 1898 did not nearly
approach this number, as will be seen by reference to the reports of London medical officers of
health (see page 14).
If the London small-pox death-rate be compared with the death-rates of the following large
English towns, it will be seen that in the period 1888-97 the London death-rate was exceeded by
the death-rates of all, except Liverpool, Leeds, Nottingham, and Salford, while in 1898 in none of
these towns were sufficient deaths registered to give an appreciable death-rate—

If the London small-pox death-rate be compared with the death-rates of the following
foreign towns, it will be seen that in the period 1888-97 the London rate was exceeded by those of
all these cities, except Amsterdam, Copenhagen, Stockholm, and Berlin, and in 1898 was exceeded
by those of St. Petersburg, Berlin, and Rome—

1 See footnote (1), page 3.
2 See footnote (2), page 3.