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10
named were alone selected. In these streets there was an
average of about 6,823 inhabitants, and amongst them no
less than 167 deaths occurred in 1871-80, against 18 in
1861-70, whilst amongst the other 30,177 poor inhabitants
outside the quarter of a mile radius, there were 484 deaths;
the former giving a death rate per annum of 2'45, and the
latter of 1.60 per 1,000 population. The inhabitants of
these houses and the houses themselves, were very similar,
and differed in no essential points from one another. This
excess of mortality amongst those residing within the
quarter of a mile radius, becomes something enormous when
the population and number of deaths in the streets nearest
to the Hospital are compared, as there were no less than 95
deaths during the 10 years amongst a mean population of
2,314 inhabitants, or 4T deaths from small pox per annum
in 1,000 population, being a death rate in excess of that
ordinarily obtaining before vaccination was practised. These
results are the more remarkable as a good many better class
persons and tradesmen live in the High Street and in
Brooksby's Walk, which form part of the quarter mile circle.
The number of cases reported to me, (which are given for
each year separately in the appendix,) show very strongly
indeed not only the extent to which the inhabitants of these
streets were infected, but also the permanence of the infection.
In the streets adjoining the Hospital, there were
11.97, say 12 cases per 1,000 population per annum during
the last 10 years, and amongst those residing within the
quarter mile radius, 9.16 per 1,000 per annum, against 5.76
cases amongst the other 30,177 poor persons. These results
may be checked by referring to the appendix, where all the
streets within the quarter of a mile radius of the Hospital
are marked with an asterisk; the streets adjacent to the
Hospital are marked with a dagger. The streets included
in the first list, with a few exceptions where the population
is not given, are occupied almost entirely by the poorer
classes. The following are the measurements showing the