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105
outside the sanitary district, the death-rate from this disease has risen
more than 100 per cent. There must be some cause for this general
increase, but, up to the present, the explanation has not been
forthcoming.
It must be stated in order to prevent alarm that the increase of
Diphtheria has not been confined to any particular locality but has
been general to the Metropolis. It is remarkable that while the
London death-rate from this disease was only 0.12 from 1871-80, yet
from 1882 to 1891 it was 0.27, and in 1892 was as high as 0.58. A
large increase has also taken place throughout the country, which
increase has not been confined to any one particular place or country.
ENTERIC FEVER.
Enteric Fever, with which term is included Continued Fever,
caused 32 deaths, of which 10 occurred in Upper Holloway, 10 in
South-west Islington, five in South-east Islington, and seven in
Highbury.
All these deaths were of persons five years old and upwards, seven
being males and 13 females, a disproportion so great that it must be
inferred that the disease was contracted by the latter through the
performance of household duties, which in all probability brought them
in close contact with insanitary defects, or from the fact that they,
being more confined to the house, had more continuously inhaled
the polluted air that escaped from these defects.
The 32 deaths were equal to an annual death rate of 0.09 (nearly
0.10) per 1,000 inhabitants, which is 0.29 less than the decennial rate
for 1870-80.
TYPHUS FEVER.
No death from this disease was known. The decennial death-rate
1871-80 was 0.07 per 1,000.