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5
of the Small Pox Hospitals should leave no doubt that efficient
vaccination in infancy, and re-vaccination at, or about, puberty, are
the remedies to be employed against the occurrence of this disease.
Measles caused 49 deaths during the year, the annual average
of the last ten years having been 36.8.
Scarlet Fever caused 71 deaths, the annual average of the last
ten years having been 48.3. The largest number of deaths from
this disease occurred in 1869, when 152 were registered; the
smallest in 1878, when 16 occurred. You must not think that this
statement contradicts what I have already said of the decrease in
the number of deaths from Zymotic diseases—I was then dealing
with them as a class, I am now considering them individually.
Diphtheria caused 11 deaths, the annual average of the last
ten years having been 4.6.
Whooping Cough caused 43 deaths, the average of the last
ten years having been 56.7. The practice that prevails of carrying
children, suffering from this disease, in the streets and public conveyances,
and the taking of such children to the waiting rooms of
Hospitals devoted to the treatment of children's diseases, is, in my
opinion, a very frequent means of communicating the affection,
and is much to be deprecated. Eighteen deaths were registered
from Fever, of which number 2 were due to Typhus, 13 to Enteric,
and 3 to Simple Continued Fever. The number of deaths coincide