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enquiries which I made at the time, I satisfied myself
that the death registered as one of typhus fever could
not properly be so regarded. Of the typhoid fever
cases some without doubt were imported into the
parish, others were incorrectly described, and in some
of the remaining cases an investigation into the condition
of the houses wherein the deaths occurred
failed to discover the cause of the disease.
DIARRHœA.
Forty-six of the 52 fatal cases were childen under
two years of age, and therefore may be considered as
cases of infantile diarrhoea. The proportion of deaths
in Paddington was 29.5 per 1,000 deaths; in London
it was 45 per 1,000 of the total deaths in the year.
VACCINATION.
In Table VII., supplied by the Vaccination Officer,
Mr. Dudman, will be found the vaccination statistics
of the year. As confirmatory of the correctness of the
opinion expressed by me in former Reports, of the
efficacy, as a prophylactic measure, of vaccination, followed
in due course by re-vaccination, I append a copy
of a letter addressed to the Sanitary Authority by the
Metropolitan Asylum Board:—
SMALL-POX.
The Metropolitan Asylum District,
37, Norfolk Street, Strand,
London, W.C.
30th October, 1879.
Sir,—The severe nature of the Small-Pox epidemic which visited
London during the autumn of 1876, and prevailed with more 01 less
intensity during the whole of 1877 and 1878 and part of 1879, induced