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69
In St. Giles District these deaths numbered 85, and
equalled a zymotic death-rate of 1.9 per 1,000 of the population,
against 114 deaths and a death-rate of 2.5 per 1,000
for the previous year.
1. Small-pox (decennial average 5.4). There were only
four deaths from small-pox in the whole of London in 1890,
this being the fifth successive year in which the metropolis
has been practically free from the disease.
The annual report of the Ambulance Committee of the
Metropolitan Asylums Board states, " that 48 persons certified
to be suffering from small-pox ; were removed from their
homes in different parts of the metropolis to the manager's
hospitals. In only 26 of these cases was the diagnosis confirmed
by the medical superintendent of the hospitals to
which they were conveyed ; of the 22 patients found not to
•have small-pox, 18 were returned to their homes and 4, too
ill to bear the return journey, were admitted into hospital."
There has been no death from small-pox in this district
since 1885.
During the past year one slight case was reported, viz.,
that of a young woman, aged 19, residing at No. 9,
Nottingham Court, who had contracted the disease whilst
'
nursing her brother in the adjoining parish of St. Martin-inthe-Fields.
It appears that in the first instance this woman attended
as an out-patient at one of the general hospitals, where the
medical staff, finding she was suffering from small-pox, did
not detain and isolate her, but sent her home and telegraphed
to the Asylum Board Authorities to remove her. No notification
was sent to this office (the Local Sanitary Authority)
about this case, the first and only information being