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20
increase in the zymotic mortality, and by referring to the second
Table, it will be seen that it amounts to 26. It is also there shown,
that two deaths took place from Small Pox, against 0 in the preceding
year; that the deaths from Measles were 15 more; those from Scarlet
lever 58 more; from Hooping Cough 11 less; from Typhus 2 more;
and from Diarrhoea 40 less. So that the principal increase was in
the deaths from Scarlet Fever. But this increase was not confined
to Clerkenwell, but prevailed over the Metropolis, the deaths having
been 2662 against 652 in the preceding year. I pointed out years
ago, how this disease was mainly spread by the Schools ; in consequence
of children coming from rooms in which the disease prevails, being
allowed to mix with healthy children.
The important plan of removing affected persons from their
dwellings, when isolation at home was impracticable, was carried out
to a great extent: 82 cases of Fever (Typhus and Scarlet Fever),
and 3 cases of Small Pox having been so removed in the year.
Of the 31 deaths from Typhus, 7 are registered as having arisen
from Typhus, 17 from Typhoid, and 7 from simple continued Fever-
It is gratifying to notice that out of 50 cases of Typhus sent from
the Holborn Union to the Fever Hospital, 5 only came from
Clerkenwell.
I think it will be well to publish the rules, which are so important
for the prevention of the spread of infectious diseases; a copy of
which is left at each house in which zymotic disease is known to
prevail, they are as follows:—
RULES FOR THE PREVENTION OF THE SPREAD
OF INFECTIOUS DISEASES.
1.—When a person is attacked with infectious disease, the patient
should be placed in a separate room, and all carpets,
curtains, &c., at once removed. When this cannot be done,
the patient should be sent to a hospital. And all persons
who have not had the disease should be sent out of the house
to lodge elsewhere.