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crowded homes, tainted with foul air, and under conditions
which preclude the care so necessary in the nursing and
management of measles.
The deaths in London from measles in 1892, were 3,393,
and 791 above the corrected decennial average. In 1890
the deaths from this cause were 3,291, and 664 above the
average ; in 1891 only 1,807, and 871 below the average.
The mortality from this disease was in excess in six out of
the ten years 1882-91.
SCARLET FEVER.
This disease, which was the cause of 28, 26, and 16
deaths in the preceding three years respectively, proved fatal
to 36 persons in 1892, the corrected decennial average being
27. Nine of the deaths belong to the Brompton sub-district;
twenty-seven occurred in hospitals, to which 456 out of 715
recorded cases were removed. Of the 715 cases, 457 belong
to North Kensington, viz., that part of the Parish north of
Uxbridge Road; and 258 to South Kensington, i.e., the
remainder of the Parish south of Uxbridge Road The cases
recorded in the preceding three years, were 252, 375, and 323
respectively.
Scarlet fever was epidemic in London in 1892, but the type
of disease was mild, and the deaths (1,174) few relatively to the
cases notified, some 28,000 in number. The case-mortality
was about 4.2 per cent. The Table at page 37 indicates
the progress of the epidemic in this Parish, and in the Metropolis
as a whole, by the number of cases and deaths recorded
in the thirteen successive periods covered by my four-weekly
reports. The resources of the Asylums Board were taxed to
the utmost, and for a time proved unequal to the strain: the
applications for admission to the hospitals exceeded all
previous experience. The admissions during the year exceeded
the highest total in any previous year (6,537 in 1890), being
about 14,000.