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35
Small-pox.—There was one notification of small-pox in the
Borough during 1928, and several cases of small-pox were, so to
speak, related to Hackney in that their movements in the Borough
required action by the Public Health Department.
Scarlet Fever or Scarlatina.—The number of cases of scarlet
fever notified during 1928 was 947. This is a decrease of 32 cases
upon the number of cases notified during 1927.
The attack rate for scarlet fever was 4.36 per 1,000 persons
living and for England and Wales 2.61. The number of cases removed
to hospital during the year was 907. This is equal to 95.6 per
cent. of the total notified.

It will be seen from the above that scarlet fever was most prevalent
in the South-east Sub-district.
The deaths from scarlet fever during 1928 numbered 7, which is
equal to a case mortality of 0.73 per cent. attacked, and a scarlet fever
death-rate of 0.03 per 1,000 inhabitants. The mortality rate for
London from scarlet fever during the same year was 0.02 per 1,000
inhabitants.
Diphtheria and Membranous Croup.—There were 741 cases of
diphtheria and membranous croup notified during the year. This is an
increase of 97 upon the number of cases notified during 1927.
The attack rate of diphtheria was 3.4 per 1,000 inhabitants, compared
with 1.55 for England and Wales.
There were 728 cases removed to hospital during the year. This
is equal to 98.2 per cent. of the cases notified.
The following table shows the distribution of diphtheria in the
respective Sub-districts of the Borough:—