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against 1.86, 2.22 and 2.14 in the immediately preceding
three years.
In St. Giles District these deaths numbered 113, and
equalled a rate of 2.9 per 1.000 against 1.9, 25 and 14 in
the three preceding years.
Small-Pox (decennial average 5.1).—The past year is
the sixth in which London has enjoyed practical immunity
from the disease. In the spring of the year it showed a
tendency to spread in the metropolis, and cases were removed
from twenty different localities into the hospitals of
the Asylums Board. The majority of cases came from the
Port of London and the neighbourhood of the docks. During
the remainder of the year five other cases were removed,
making a total of 64* patients received into the Manager's
Hospitals (no fewer than 43 occurred between April 13 and
May 14); 8 of the cases terminated fatally. The deaths from
it in the whole of England and Wales during the same
period were only 48.
The Local Government Board issued a circular calling
attention to the fact that for some time isolated cases of smallpox
had occurred in different parts of London, and urgimg
the importance of special vigilance in the matter. Medical
Officers of Health were requested in all cases which were
notified to them, or which came to their knowledge, to visit
the houses where the disease had broken out, and at the
earliest possible moment to take such measures as may be
necessary to secure as far as practicable the isolation of the
patients, the vaccination of any persons who may have been
* The total number of patients certified to be suffering from small-pox
and removed from their homes to the hospitals of the Asylums Board
during the year was 90; of these 26 patients were found not to have smallpox,
and were returned to their homes at once.
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