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9
examination of the appended table will show that even up to the
present time the death-rate, from this disease per 100,000
population during six years, 1873-78, has been less than for any
corresponding period since 1840, for taking each epidemic period
separately we find that the numbers are as follows, in 1840-44,
50.7 per 100,000 population; in 1845-48, 42.9; in 1849-53,
45.5; in 1854-60, 25.3; in 1861-63, 39.7; in 1864-67, 32.8;
1868-72, 86.0, and in 1873-78 only 23.3 per 100,000 population.
It is, therefore, very probable that other districts of London
which have not as yet suffered, will be visited by the disease
unless vaccination and re-vaccination have been effectually carried
out. Having discussed at considerable length in my report for
1876, the protective power of vaccination and re-vaccination,
when properly performed, I do not propose dwelling at greater
length on this subject at present.
The total number of cases reported to the Sanitary Department
during the year was 342, against 670 in 1877, of which
322 were removed in 1877, to hospitals, chiefly those of the
Asylum Board, against 207 in 1878. We had applications from
several persons in a fair position of life for the use of the ambulance,
but not one for providing hospital accommodation for nonpauper
cases. There were a few instances in which persons not
having proper lodging and accommodation at first refused to go
to the Asylum Board's Hospitals, but on being threatened with
compulsory removal under a magistrate's order they all agreed to
be removed, and subsequently made application to the Relieving
Officers. The number of cases which were reported to us in the
different sub-divisions of the district are shown in the following
table, but I cannot give the per centage to population as there is
no separate census of the sub-divisions. It will be seen that we
had notice of a few cases only in De Beauvoir Town and
Stamford Hill sub-divisions, but this might have been expected
to a certain extent, as there are but few poor in those localities,
and consequently comparatively few of that class concerning
whom we receive such information.