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15
attack-rate therefore for the whole district is nearly 7 per 1,000, and
the death-rate *28 per 1,000 living persons.
The course of this disease may be seen by reference to the
accompanying chart. The notifications fluctuated greatly week by
week, and it will be seen that scarlatina was present in considerable
numbers the whole year; but this only illustrates what occurred
nearly throughout the whole of the Metropolis. But the chart
shows also that the disease was greatly in excess during the latter
half of the year, the excess beginning, so far as Hackney is
concerned, in the month of June. Early in July the resources of
the Metropolitan Asylums Board were so strained, that the Clerk to
the Board intimated to me that they were only able to admit eases
into the hospital as the beds became vacant, as the whole of the
beds for scarlet fever patients were occupied; at the same time
furnishing me with forms which were to be used when applying for
the removal of cases to the Hospitals. The form was to be used in
order that the Board might select those cases whose circumstances
indicated the most need of removal.
I here give the heading of this form.
Special Form of Application to be used in times of pressure.
To the Clerk, 189
Metropolitan Asylums Board.

Signature and description of applicant j