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7
efficient working of Vaccination. That ours has been effective
is borne out by Mr. Simon, who states in his great Work*
of last year, that in the triennial period 1854—56 there were
in Bethnal Green 81 vaccinations to each 100 births, or more
by 6.6 than in any other metropolitan district. Tables 3 and
4 illustrate the epidemic deaths; the former showing their
Sub-District distribution, the latter contrasting them—firstly,
with London—and secondly, with the East Districts in which
we are placed. Proportionally we lost less than all London by
Small Pox, but more by Measles, Scarlatina, Hooping Cough,
Diarrhoea, and Typhus. Compared with the East Districts,
the proportions corresponded by Typhus, but were higher by
the other five epidemics. Small Pox was most fatal in the 4th
Quarter, Measles in the 2nd and 3rd,—reaching its acme of
intensity in the month of May; Hooping Cough predominated
in the 1st and 2nd Quarters; Diarrhœa enormously (90 out of
132) in the 3rd; and Fever, in its duplex form of Scarlatina*
and Typhus, in the 4th. The influences of the seasons on
these and other diseases are shown collaterally with the names
and ages, in Table 2. One person in every 778 was carried off
by Diarrhoea, 1 in 977 by Fever, and 1 in 189 by the entire
group of epidemics. Out of 63 epidemic deaths, 1 or 156
per cent. fell on the Gentry,—1 in 4, or 24.8 per cent. on the
Tradesmen,—and 1 in 4.2, or 23.7 per cent. on the Artisans.
"In London the proportion of deaths from epidemic diseases
among the Gentry is 9.3,— among Tradesmen 18.6,—and.
among Artisans 215 per cent." The following were the
numbers of each epidemic, and of the Choleraic cases, in the
3 years 1855—57 ;—Small Pox, 31, 21, 5 ; Measles, 79, 38,
81 ; Scarlatina, 96, 58, 91; Hooping Cough, 101, 85, 126 ;
Diarrhoea, 70, 76, 132; Cholera and Choleraic Diarrhœa, —,
1, 15; Typhus, 98, 107, 105 Of the choleraic deaths, 1 by
Malignant Cholera of 24 hours duration, occurred in Bridge
Road, opposite a long open ditch, to the danger of which I
* "Papers relating to the History and Practice of Vaccination."