View report page

9
August, and September last. This is the highest Quarterly number of
deaths from small-pox registered in the Metropolis since the epidemic of
1871-2. Of the 110 deaths from small-pox in London, 62 occurred in
hospitals, and 48 in private dwellings; 42 were of children under 10years of
age, 17 of persons aged between 10 and 20 years, and 51 were of adults aged
upwards of 20 years. Excluding the deaths of a mechanical engineer, of a
solicitor's clerk, a grocer's wife, and three children of licensed victuallers,
the whole of the fatal cases of small-pox in London occurred among the
labouring classes. The 110 deaths included 36 which were certified as
vaccinated, and 49 as unvaccinated; in 25, or 23 per cent, of the cases the
medical certificates gave no information as to vaccination. Among the
vaccinated cases only three were of children under 10 years of age ; whereas,
of the 49 cases certified as unvaccinated, 30, or 61 per cent., were of children
aged under 10 years. No less than 92 per cent, of the vaccinated persons
who died from small-pox in London last quarter were of persons aged over
10 years."
Fever Cases in the District.
In each of my three previous Reports I published a return of the fever
cases which had been admitted into the Workhouse under the care of
Mr. Ilott, the whole of which were transferred to the Homerton Hospital.
For the Quarter ending January 1st, the total number was 15; of these, 9
were of enteric fever and 6 of typhus. In the following Quarter the total
cases were 43; of those, 3 were of enteric, 2 of scarlet-fever, and 38 of typhus.
In the succeeding Quarter the total number was 9; of these, 3 were of enteric
and 6 of typhus. In this Quarter the total number is 4, viz.: 1 of typhus, 1
of scarlet-fever, and 2 of enteric fever. The number of cases of typhus fever
removed from the Workhouse to the Homerton Hospital, for the 12 months
ending on the 30th September, was 51; of enteric fever 17, and of scarletfever
3. Total cases 71. In addition to this number there were sent from
other parts of the District 41; thus making a total of 112 cases of fever
admitted into the Homerton Hospital from this District.
It will be seen, on reference to the Tables in the Appendix to this
Report, that the epidemic of fever is now on the decline; the number of
deaths from this disease having been for the Quarter ending January last, 15,
including those which occurred in the Homerton Hospital; for the Quarterending
April 1st, the deaths were 21 ; for the Quarter ending 1st July, they
were 10, while for this Quarter they have been only 0, including 2 deaths in
the Homerton Hospital.
Since writing the above remarks on fever, Mr. Yallance has addressed
to me the subjoined Letter:—