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from measle3, 28 from scarlet-fever and diphtheria, 44 from hooping-cough,
89 from diarrhoea, and 30 from fever, including 4 which occurred in
Hospital. During the three years, 1871-2-3, only 4 deaths from small-pox
occurred in this District, whereas 14 deaths, including the 6 which took
place in the Small Pox Hospital, occurred during the Quarter ending 30th
December, 1876.
In the first quarter of this year the deaths from small-pox were 28,
including 12 which occurred in Hospital; in the second quarter there
were 10, including 6 in Hospital; in the third quarter 4, all of which
occurred in Hospital; and in the present quarter there were 6, including
3 in Hospital. The total deaths from small-pox, including the 25 which
took place in Hospital during the year in this District, containing a population
of 76,573, was 48, or 1 in 1596 of the population; while the deaths in
the whole of London from this disease, in a population of 3,533,484 were
2544, or 1 in 1388.
Of the total deaths in London from small-pox during this year, it
appears that 569 occurred among those persons who had been vaccinated;
1080 deaths were of those who had not been vaccinated ; and of the remainder,
895, no information was obtained as to vaccination.
The deaths from fever, including those which occurred in the Fever
Hospital, have been 30. This is in the proportion of 1 in 2552 of the population
In the whole of London, the deaths from fever have been 1240, or
1 in 2841 of the population. From these figures it appears that small-pox
has been less fatal in this District than in the whole of London, and fever
has been rather more so.
The death-rate from epidemic diseases, including those in Hospitals for
the year, in relation to the total mortality, is 12.5 per cent.
Paupe Illness in the District.
The number of out-door sick paupers, who have been attended by the
Medical Officers of the Union, has been 2060. During the previous year the
number was 2281. The extraordinary annual diminution of the out-door
sick paupers, from upwards of 17,000, in the years 1867 and 1868, to
2060 in 1877, is a matter of great satisfaction to the rate-payers of this
District.
Illness in the Workhouse.
The cases of illness in the Workhouse during the year have been 3047,
including 124 cases of syphilis and 27 of lead poisoning.