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detecting cliolera and diarrhoea, and the supply of medical
attendance and nursing, and of medicines and disinfectants. The
expenses incurred by the Managers under the Act of 1883 form
a charge upon the Metropolitan Common Poor Fund.
In a special report (No. 9, July 25th, 1883), on " Precautions
against Cholera," I dealt with the subject generally, pointing out
what I conceived to be the relative duties devolving upon the central
authority (Local Government Board), the local authority (your
Vestry), the representatives of the law (the Justices), and the
people themselves, in the dreaded emergency. In concluding
that report I said, and I now repeat, that individual householders
might render invaluable service by reporting to your Vestry whatever
nuisances may come to their knowledge, or under their
observation, and not less by carrying into effect, each in his own
house and family, the advice submitted to each one in Papers
which I at that time prepared, and respectively entitled—
(a) Suggestions for Preventing the spread of Infectious Diseases ;
(b) General Sanitary Notice; and (c) Precautions against Cholera.
SMALL-POX.
One hundred and seventy-seven cases of small-pox were
recorded in 1884, as against 8 in 1883, viz.:—76 in North Kensington
and 101 in South Kensington—the dividing line running
along the centre of the Uxbridge Road, and the population of each
division of the parish being in round numbers 85,000. The
deaths of parishioners from this disease were 26, inclusive of one
death certified (in error) from another cause, viz., 17 in the Town
sub-district, and 9 in the Brompton sub-district. The deaths in
North Kensington and South Kensington were 13 respectively.
Of the 26 deaths, 20 took place in the hospitals of the Asylums
Board, to which 157 cases (71 out of 76 from North Kensington,
and 86 out of 101 from South Kensington) were removed. Five
cases in North Kensington, and 15 cases in South Kensington
were treated at home, 6 of them to a fatal issue, irrespective of
concealed and unrecognised cases. As usual, many of the South