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It will be seen from the foregoing table that the death-rate from the principal epidemic diseases
was, both in the period 1902-6 and the year 1907, highest in Shoreditch (3.16 and 3.01 respectively),
and lowest in Hampstead (0.63 and 0.51 respectively). The death-rates from these diseases during
each of the four quarters of the year were as follows: First quarter, 1.33; second quarter, 1.56; third
quarter, 1.42; and fourth quarter 1.36 per 1,000 persons living.
Smallpox and Vaccination.
There were no deaths from smallpox in the Administrative County of London during the year
1907; one death was attributed to cowpox.

The smallpox death-rate in each year since 1840 in relation to the mean smallpox death-rate of
the period 1841-1907 is shown in diagram V.
During the complete years in which the notification of infectious diseases has been obligatory,
the number of cases of smallpox (uncorrected for errors in diagnosis) notified to the medical officers of
health in the various sanitary districts comprised in the Administrative County has been as follows:—

If the London smallpox death-rate be compared with the death-rates of the following large
English towns, it will be seen that in the decennium 1897-1906 the London death-rate was higher than
that of any, except Liverpool, West Ham and Hull; in 1907 London had no deaths from smallpox,
Bristol and Hull being the only large towns where deaths occurred, not, however, sufficient to give
an appreciable death-rate.

In this table 0.00 indicates that the deaths were too few to give a rate of 0.005; where no death occurred—is
inserted.
18560
1 See footnote (1), page 8.
D 2