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It will be seen; from the foregoing table that in the period 1908-12 the diphtheria death-rate
was highest in Finsbury and Lewisham (0.18) and lowest in Stoke Newington (0.03) ; in the year 1913,
Poplar (0.21) had the highest death-rate, and Chelsea (0.02) the lowest. The diphtheria death-rates in
London in each of the four quarters of the year 1913 were as follows : first quarter, 0.10 ; second quarter,
0.09; third quarter, 0.06; and fourth quarter, 0.11.
Diphtheria
cases and
deaths by
age and sex
—London.
The following table shows the notified cases, deaths, case-rates, death-rates and fatality of
diphtheria at the several ages and for each sex in London during the year 1913. At "all ages " the
fatality was higher among males, while the incidence of attack was slightly higher among females. In
the age-groups adopted for the purposes of this table the greatest incidence of attack was upon males
and females aged 4-5 years.

The attack rate for diphtheria was somewhat higher in 1913 than in 1912, especially as regards
females. The case mortality was lower than in the earlier year, and this, too, was most marked in the
case of females. 5,475 cases, or nearly 72 per cent, of the notified cases, were removed to hospitals of