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20
If the London scarlet fever death-rate be compared with the death-rates of the undermentioned
foreign cities it will be seen that in the period 1888-97 the London death-rate was higher
than the death-rates of Paris, Brussels, Amsterdam, Berlin, and Rome, and in 1898 exceeded the
death-rates of Paris, Brussels, Amsterdam, and Rome.

In the distribution of scarlet fever mortality in London the western and central groups of
districts had the highest death-rate during the year (0.15), and the eastern group the lowest (0 11).
Of the districts the mortality was highest in St. Luke (0.37), and lowest in Stoke Newington
(0.03). During the first quarter of the year the western and southern groups of districts had the
highest death-rate (0.18), and the central the lowest (0.10); during the second quarter the
central group of districts had the highest death-rate (0.18), and the northern the lowest (0.12);
during the third quarter the western and northern groups of districts had the highest death-rate
(0.11), and the eastern the lowest (0.06); and during the fourth quarter the central group of
districts had the highest death-rate (0.23) (this rate being nearly double the London average), and
the eastern the lowest (0.09).

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