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until the 28th, there was no marked localisation of the disease,
cases having cropped up in the Clapton Park Estate, in Clapton,
Kingsland, Shacklewe11, and Stoke Newington; but on the
30th there was a severe outbreak reported in Homerton, South
Hackney, and Hackney Wick, with other cases in Kingsland
and Lower Clapton, no less than 14 being in Homerton. From
this time the progress of the disease in the various districts is
shown by the following facts, viz., that at the end of the year—
say January 4th, 1877, we had received notice of 506 cases, of
which 65 had occurred in Hackney, 61 in Clapton, chiefly near
to Homerton, 165 in Homerton, 65 in Hackney Wick, 80 in
South Hackney, 24 in Dalston, 14 in Kingsland, 7 in De
Beauvoir Town, 4 in Stoke Newington, 1 in West Hackney,
and 1 in Stamford Hill. Also, that by the 29th of March, we
had received notice of 827 cases, being 32] in the three months.
The 827 cases occurred as follows:—261 in Homerton, 127
in Clapton (including the Clapton Park Estate), 117 in Hackney,
114 in South Hackney, 93 in Hackney Wick, 48 in Dalston,
28 in Kingsland, only 15 in Stoke Newington, 11 in West
Hackney, 10 in De Beauvoir Town, and and 3 in Stamford Hill.
It is therefore evident that while the focus of the disease was
concentrated after a short time in Homerton and the adjacent
districts of South Hackney, Clapton Park, and Hackney Wick,
yet that it did not commence in Homerton. Also, that after
allowing for the time during which the disease remains dormant
in the system, the small pox infective matter must have been
extensively spread about Homerton on the 14th of October or
thereabouts.
The number of Hackney cases under treatment in the hospitals
by the Metropolitan District Asylum Board, at different times, will
afford a fair indication of the severity and progress of the
epidemic. In the first week of October there were 10 cases
under treatment, which had increased up to 27 before the
end of the month. In the first week in November there