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clearly did not originate the disease in its vicinity, as these
cases occurred before any patients were admitted. This outbreak
was not at first severe, single cases occurring in each
street, and no excess of cases occurred in the vicinity of the
Hospital, as compared with other places, until the week
ending March 16th, when the Hospital had been opened for
more than a month. During this week, eight cases were
reported within the quarter mile radius, and in subsequent
weeks the numbers within this radius were as follows:—
3, 10, 2, 13, 6, 8, 5, 9, 6, 8, 4, making a total of 74, against
312 in all the other parts of the District. In the fortnight
ending June 29th, there were 23 cases, and in the next fortnight,
17 within this radius, against only 60 in the whole
District. After this time, the disease gradually decreased,
indeed, with the exception of a limited outbreak in September,
it almost disappeared until November, when it again
broke out, when a large proportion of cases occurred near
the Hospital.
Very few cases happened in 1873, 1874 and 1875; but the
disease became again epidemic in Hackney in 1876, when
480 cases were reported to me, and 92 deaths registered in
that year; the deaths in the whole of London having been
only 735, so that one-eighth of all the deaths from Small
Pox occurred amongst Hackney parishioners. The table of
"cases" shows that a very large number happened in the
vicinity of the Hospital, as no less than 13 cases were
reported from Brooksby's Walk, 14 from Holmbrook Street,
9 from the Grove, and 11 from Templar Road. The first
case in this epidemic (1876, 1877 and 1878,) occurred in
July. The patient was a servant living in South Hackney,
who had visited a relation suffering from the disease. There
was one case in August, which also occurred in South
Hackney. The next cases were in Warwick Villas, Homerton,
and in Mare Street. On the 26th of September, which
was the date of the commencement of the epidemic, three
cases occurred in Brooksby's Walk, followed quickly by