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occurred, or 1 to every 136 attacked. 1258 of the cases
were treated in the Workhouse, and 6086 in the 5 Out-door
Divisions. Of the Nosological groups, the 6 Epidemics
took as usual the prominent place, numbering together 1832,
or 1 to every 4th attack. Their percentage was 18.7 in the
Workhouse, and 26 in the Out-door divisions. In point of
frequency, Fever ranked first, and attained its maximum in
No. 2; Diarrhœa, Measles, Scarlatina, and Whooping Cough
were most prevalent in No. 5; whilst Small Pox predominated
in No. 4. You will learn with deep regret that the
seizures by Small Pox rose to 103, and that they amounted
to 79 more than in 1857. Much of this lamentable increase
was doubtless owing to non-vaccination; for by the Returns
it appears that the certificates of successful cases in Bethnal
Green were 1817 short of the Registered Births. Hence, on
deducting the 617 deaths under 1 year of age, 1200 infants
were left unprotected during 1858. In regard of the sites of
the epidemics, 127 occurred in the Eastern out-door division,
or No. 1; 294 in the South-Eastern, or No. 2; 242 in the
South-Western, or No. 3; 429 in the North-Western, or
No. 4; and 504 in the North-eastern, and, in part, Western
district, or No. 5. One person out of every 14 of the population
had the advice of one or other of the Poor Law Medical
Staff. Exclusive of the Pauper Practice, 278 In-patients
were admitted into the Consumption Hospital, and 6925 Outpatients
were attended in the year. There were also 2396
New cases under treatment at the Dispensary, embracing 1
of Small Pox, 11 of Measles, 18 of Scarlatina, 20 of Whooping
Cough, 42 of Diarrhoea, 32 of Fever, 9 of Erysipelas, 3
of Carbuncle, 1 of Elephantiasis, or "Arabian Leprosy," 51
of Consumption and other Tubercular diseases, 229 of Acute
Pulmonary Affections, 2 of Ague, and 9 of Rheumatic Fever.
In addition, the Returns at the Lunatic Asylum comprised
179 New cases of Insanity, 2 of modified Small Pox, 10 of