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4
what it has hitherto been since the opening of the Homerton
hospital.
The chief feature hitherto has been the recurrence of the
disease in the streets and places within half a mile of the
hospital at each epidemic period, and its persistence to a greater
or lesser extent within the same area when it was nonepidemic.
The course of the disease during the time under
consideration has been similar, having chiefly attacked the
inhabitants within half a mile radius, with local outbreaks in
other places of considerable severity, such as those in Ash
Grove and Ottaway Street. Thus in 1871 there was a severe
outbreak in the streets between the London Fields and the
Regent's Canal. In 1876 there were outbreaks at Hackney
Wick, and in the vicinity of Palace Road and in Shacklewell.
The disease has not since then shewn itself as an epidemic in
these localities, although they are occupied by a somewhat
similar class to those living around the hospital and the
inhabitants are poorer and more densely packed than in most
of the streets on the Clapton Park Estate, which has suffered
so severely this year.
The first case of the disease occurred on the 10th of October,
1883, in Bentham Road, followed on the 16th by another in
Ufton Road, making two cases only reported to me in Hackney
during the month of October. In November numerous cases
occurred. On the 4th one was reported in College Avenue;
on the 5th, in Paragon and Glynn Roads; on the 13th, in
Sedgwick Street; on the 14th and 15th, in Urswick Road,
Digby Road and Dyssal Street; on the 18th five cases were
reported in Lower Brunswick Street, Clifden Road, Wick
Road, Church Road, Homerton and Manor Place; and on
the 23rd, in Meynell and Bentham Roads; on the 27th,
another case (same house) in Dyssall Street; cases in
Brooksby's Walk, Digby Road, Warwick Villas and Homerton
Infirmary; so that the cases occurred largely in or near the