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during the year under notice, the nearest approach to so low a number
having boon in 1887 and 1888, in each of which years 9 fatal cases of
this disease were registered; the single small-pox death during last
year belonged to Lambeth sanitary district. Only 4 small-pox patients
wore admitted to the Metropolitan Asylum Hospitals during the year
under notice, and BO patients remained under treatment at the end of
December. Measles showed the highest proportional fatality in Bethnal
Green, Whitechapel, Bermondsey, St. Giles, St. James Westminster,
St. George Southwark, Westminster, and St. Olave Southwark;
diphtheria in Lambeth, Kensington, Holborn, Bethnal Green, Stepney,
and St. George-in-the-East; whooping-cough in Chelsea, Camberwell,
Greenwhich, Newington, bermondsey. St. olave Southwark, and
Fulham; and diarrhœa in St. Saviour Southwark, St. Olave Southwark,
Stepney, Whitechapel, Fulham, and St. George-in-the-East. The rate of
mortality from scarlet fever was not excessive in any of the sanitary
districts, but the number of scarlet fever patients under treatment in
the Metropolitan Asylums Hospitals, which had been 738 at the
beginning of 1889. steadily increased almost throughout the year, and
was as many 1541 at the end of december. The admissions were
4574, the number in each quarter being 614, 625, 1449, and 1886
respectively.
"Infant mortality in London during 1889, measured by the proportion
of deaths under 1 year of age to births registered, was equal to
141 per 1000, against an average rate of 152 in the ten preceding years,
1879-88. While the rate of infant mortality last year did not exceed
106 in Wandsworth, 112 in Plumstead, 111 in Hackney, 122 in
Hampstead, and 126 in St. Luke's, it ranged up wards in the other
sanitary districts to 166 in Newiugton, 167 in St. Saviour Southwark,
175 in St. George Southwark. 181 in St. George-in-the-East, 183 in
St. James Westminster, 199 in Strand, and 212 in St. Martin-in-theFields."