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Had such information in connection with this outbreak been obtainable forthwith on
application to the milk vendors I believe valuable time would have been saved in
stopping the infected milk at its source, viz., the farm from which it was sent to
London.

Of the cases certified during the year just over 88 per cent. were removed to
hospital for treatment as compared with 83 per cent. in 1900, 85 per cent. in 1899,
86 per cent. in 1898, 75 per cent. in 1897, 70 per cent. in 1896, 60 per cent. in 1895,*
65 per cent. in 1894, and 37 per cent. in 1893*
The death-rate due to scarlet fever during 1901 was 0.17 as compared with 0.15 per
1,000 in 1900. The rate was highest in Haggerston and lowest in Hoxton New Town.
The number of persons attacked by scarlet fever in Shoreditch was at the rate of 4.7
per 1,000 inhabitants as compared with 2.7 per 1,000 in 1900. The mortality was at
the rate of 3.5 per cent. of the cases as compared with 5.4 in 1900, 4.1 in 1889, 4.7 in
1898, 4.9 in 1897, and 5.4 in 1896. Amongst children under five years of age there
were 205 cases. Of these 14 or 6.8 per cent. terminated fatally as compared with 12
per cent. in 1900, 9.l per cent, in 1899, 7.7 per cent. in 1898, 11 per cent. in 1897, and
12 per cent. in 1896. Amongst those over five years 6 died, the mortality being 1.7
per cent. as compared with 1.5 per cent. in 1900, 1.3 in 1899, 2.5 in 1898, and 1 per
cent. in 1897
The number of cases of scarlet fever certified in London during 1901 was 18,387,
the attack being at the rate of 4.4 per 1,000 population as compared with 3.0 in 1900,
3.9 in 1899, and 3.7 in 1898. The deaths numbered 584 as compared with 361 in 1900
and 398 in 1899, the death-rate being 0.13 per 1,000 as compared with 0.08 in 1900, 0.09
in 1899 and 0.13 in 1898.
*During portions of these years, owing to lack of accommodation at the fever hospitals, many cases
had to be treated at home which would otherwise have been removed to hospital.