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552 belonged to the Limehouse District, or at the rate of 9.40 per
1,000.
847 belonged to St. George's, or at the rate of 10.24 per 1,000.
1,554 belonged to Mile End, or at the rate of 13.22 per 1,000.
1,062 belonged to the Whitechapel District, or at the rate of 13.18
per 1,000. ' ,
The number of Notifiable Diseases was 1,886 more than in the previous
year, due more especially to the Scarlet Fever epidemic. The greatest
number occurred during the month of October, when it reached its maximum
of 160 in the first and fourth week. This abnormal number included 128
cases of Scarlet Fever in the first week of October and 112 in the fourth
week. As stated previously, the height of the Scarlet Fever epidemic was
reached in the second week in October.
As in the previous year, 20 cases of Diphtheria were the largest number
notified in one week, but this number was reached on three occasions, viz.:
the second week in August, the fourth week in September, and the first
week in November.
Eight cases of Enteric Fever were the greatest number notified in any
week in the Autumn, and contrary to other years, an equal number of notifications
of this disease was received in the third week in January, and the
fourth week in March.
The largest number of Notifiable Diseases occurred during the fourth
week in September in the Whitechapel District, the second week in October
in St. George's, the third and fourth week of October in the Limehouse
District, and the first week of November in Mile End Old Town.
Several complaints were received during the year of the foul conditions
of the water of the canal which runs through our district, and suggesting that its
condition was likely to cause the propagation of fevers of various kinds.
Curiously enough, the houses near to, or bordering on the Thames and canal
were particularly free throughout the year from all notifiable diseases.
Whether the movement of the volume of water causes a corresponding movement
of air, and this in some way accounts for the freedom, I am not in
a position to state.
Wrong Diagnosis.—In addition to the above 386 cases notified, which
were afterwards found not to be suffering from the disease mentioned on
the medical certificates, or from any other notifiable disease of any kind,
155 were received from Medical Officers attached to the London Hospital.
This number consisted of: 226 cases of Scarlet Fever, 148 cases of
Diphtheria, and 12 cases of Typhoid Fever.