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4
some degree to the other diseases of this class, seeing that the
Notification Act came into force in London only on the 31st
October, 1889.
Scarlatina.—The corrected number of deaths, was 27
which corresponds to a death rate of .45 per 1,000. The average
number of deaths for the last ten yearn, was 53. One hundred and
fifty-nine cases came to my knowledge during the year, of which 92
occurred in Limehouse, 27 in Ratcliff, and 40 in Shadwell and
Wapping. The disease appeared with most frequency in that part
of your district known as Limehouse Fields, which locality has
consequently received a considerable amount of attention by your
Sanitary Staff".
Diphtheria.—The corrected number of deaths was 41
which indicates a death rate of .68 per 1,000. The average annual
number of deaths. for the last ten years, was 11. The mortality
from this disease is increasing rapidly, not only in your District, but
also in the Metropolis In 1886 the deaths in the District were
7; in 1887, 10; in 1888, 23; and in 1889, 41. In the Metropolis
the deaths were in 1887, 953; in 1888, 1,311; and in 1889, 1,588.
Ninety-five cases came to my knowledge, of which 27 occurred in
Limehouse, 26 in Ratcliff and 42 in Shadwell and Wapping; of these
Peabody Buildings contributed 9, and Juniper Street 7, both places
being buildings of the artisan dwelling type.
WHOOPING COUGH.—The deaths from this disease
numbered 23 and correspond to a death rate of .38 per 1,000. The
anuual average number of deaths for the last ten years was 57.
TYPHUS.—One death was ascribed to this disease.
Enteric Fever.—The corrected number of deaths was 13
corresponding to a rate of .21 per 1,000. The annual average
number of deaths for the last ten years was 11. Forty-one cases
came to my knowledge, of which 26 occurred in Limehouse, 8 in
Ratcliff, and 7 in Shadwell and Wapping; again the attention of
your sanitary staff was directed to Limehouse Fields, for of the 26
eases which occurred in Limehouse, 5 occured in the Fields.