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Were Registered, Equal to an Annual Rate of 11'9 9 Per 1000 ; 482 n Paddington, the City of Westminster, Finsbury, Shore- VITAL STATISTICS OF LONDON DURING JULY, 1905. , litch, and Wandsworth, The 32 cases of scarlet fever were IN the accompanying table will be found summarisedL4 below the average for the corresponding periods of the complete statistics relating to sickness and mortality in the;en years ; the greatest proportional mortality from this City of London and in each of the metropolitan boroughs.lisease occurred in Fulham, Bethnal Green, Poplar, With regard to the notified cases of infectious disease it Lambeth, and Battersea. The 24 deaths from diphtheria appears that the number of persons reported to be sufferingihowed a decline of 97 from the corrected average number; from one or other of the nine diseases specified in the tableunong the various metropolitan boroughs this disease was was equal to an annual rate of 6 ’ 8 per 1000 of the population, proportionally most fatal in Kensington. Fulham, Hackney, estimated at 4,684,794 persons in the middle of the year. Bethnal Green, and Poplar. The 78 deaths from whooping- In the three preceding months the rates had been 5 6, 6 ’ 2, }ough were 53 below the average number in the correspond- and 6 ’8 per 1000 respectively. The lowest rates last month ing periods of the ten preceding years ; this disease were recorded in Kensington, the City of Westminster, St. showed the greatest proportional mortality in Fulham, Pancras, Holborn, the City of London, and Greenwich ; while Islington, Finsbury, Shoreditch, Stepney, Poplar, Lambeth, the highest rates occurred in Fulham, Shoreditch, Bethnal and Battersea. The 18 fatal cases of " fever showed a Green, Stepney, and Poplar. Small-pox was less prevalent decline of 15 from the corrected average number ; than it had been in the preceding month ; of the four cases Eour of the deaths belonged to Stepney, three to notified during July one each belonged to Islington, Islington, and two to St. Marylebone. The 361 deaths Finsbury, Bethnal Green, and Deptford. The Metropolitan from diarrhoea were 291 below the average number in Asylums hospitals contained three small-pox patients at the the corresponding periods of the ten preceding years; end of last month, against 16, nine, and four at the end of this disease was proportionally most fatal in Fulham, the three preceding months ; the weekly admissions averaged Hackney, Finsbury, Shoreditch, Bethnal Green, Stepney, one, against four, two, and two in the three preceding and Poplar. In conclusion, it may be stated that the months. The prevalence of scarlet fever was slightly greater aggregate mortality in London last month from the than in the preceding month ; among the various metro- principal infectious diseases was more than 45 per cent. politan boroughs this disease was proportionally most below the average. prevalent in Fulham, Shoreditch, Bethnal Green, Stepney, Infant mortality, measured by the proportion of deaths Poplar, Camberwell, and Deptford. The number of scarlet among children under one year of age to registered births, fever patients in the Metropolitan Asylums hospitals, which was equal to 112 per 1000. The lowest rates of infant had been 2152, 2236, and 2444 at the end of the three mortality were recorded in St. Marylebone, Holborn, the preceding months, had further risen to 2527 at the end of City of London, Camberwell, Lewisham, and Woolwich; last month ; the weekly admissions averaged 338, against and the highest rates in Kensington, Fulham, Hackney, 266, 302, and 301 in the three preceding months. Diph- Finsbury, Shoreditch, and Bethnal Green. theria was slightly less prevalent during July than in the preceding month ; the greatest proportional prevalence of this disease occurred in Stoke Newington, Hackney, Stepney, THE SERVICES. Poplar, and Woolwich. The Metropolitan Asylums hospitals contained 785 diphtheria patients at the end of July, against 719, 684, and 715 at the end of the three preceding ROYAL NAVY MEDICAL SERVICE. months ; the weekly admissions averaged 118, against 83, THE following appointments are notified :-Fleet Surgeon 89, and 111 in the three preceding months. The prevalence E. H. H. de Courtmacsherry, to Royal Naval Engineering of enteric fever was considerably greater than in the pre- College, Keyham. Surgeons : H. F. Iliewicz to the ceding month ; among the various metropolitan boroughs P01Verfnl,. J. Barry to the Centurion; G. E. Kennedy to this disease was proportionally most prevalent in Paddington. the Royal Oak; A. J. Pickthorn to the Ocean; and W. P. Chelsea, St. Marylebone, Hackney, Shoreditch, Bethnal Dyer and C. R. Sheward to the President, for three months’ Green, and Stepney. The number of enteric fever patients study at West London Hospital. remaining under treatment in the Metropolitan Asylums VOLUNTEER CORPS. at the end of last month was hospitals 94, against 65, 80, fxarrrison 3rd Kent and 78 at the end of the three the Royal Artillery (Vol1lnteers): (Royal preceding months ; Bernard Hudson to be weekly admissions averaged 17, against 11, 14, and 10 in Arsenal) : Surgeon-Lieutenant (dated the three months. was July 8th, 1905). preceding Erysipelas proportionally lst Volunteer Battalion the Suffolk most in St. Rifle : Regiment : prevalent Paddington, Chelsea, Marylebone, Herbert to be Bethnal and The 16 Mayris Sylvester Surgeon-Lieutenant (dated Hackney, Shoreditch, Green, Stepney. 3rd Volunteer Battalion the Bedford- cases of fever notified the month included August 1st, 1905). puerperal during shire J. W. Bone his two in the of two in and two in Regiment : Surgeon-Captain resigns City Westminster, Stepney, commission 3rd Volunteer Southwark. (dated August lst, 1905). Battalion the East Richard William The statistics in the table relate to the deaths Surrey Regiment : mortality Brimacombe to be of to the various the Surgeon-Lieutenant (dated August lst, persons actually belonging boroughs, 1st Volunteer Battalion the Gordon deaths in institutions dis- 1905). Highlanders : occurring public having been G. M. Edmond his commission tributed the in which Surgeon-Major resigns (dated among boroughs the deceased persons The Prince of Wales’s Own 12th Mid- had resided. the four weeks August lst, 1905). previously During ending dlesex Robert Welsh the deaths of 4279 (Civil Service) : Acting Surgeon July 29th persons belonging to London Branthwaite, Cadet attached to the were to an annual rate of Corps (Civil Service), registered, equal 11’9 9 per 1000 ; Prince of Wales’s Own 12th Middlesex months the rates had been (Civil Service) in the three preceding 15 1, Volunteer Rifle to be and to 14’ and 12 ’ 1 1000. The rates last month from Corps, Surgeon-Lieutenant 0, per ranged be borne as Supernumerary to the Establishment (dated 6 - 9 in Lewlsham, 8’ 3 in Hampstead, 9 6 in Islington, July 31st, 1905). 14th Middlesex (Inns of Court) : The 9’8 8 in Camberwell, and 9’9 9 in Wandsworth, to 14’0 0 in undermentioned officer resigns his commission :-Surgeon- the City of London and in Stepney, 14’4 in Bethnal Green, Captain F. C. Wallis (dated July 17th, 1905). 14’ 6 in Fulham and in Poplar, 17’ 4 in Finsbury, and 28’ 9 in Shoreditch. The 4279 deaths from all causes in ARMY MEDICAL RESERVE OF OFFICERS. London last month included 604 which were referred to the Surgeon-Major A. B Wade to be Surgeon-Lieutenant- principal infectious diseases; of these, 91 resulted from Colonel (dated July 29th, 1905) Surgeon-Lieutenant- measles, 32 from scarlet fever, 24 from diphtheria, 78 from Colonel D. E. Flinn, having resigned his commission in the whooping-cough, 17 from enteric fever, one from ill-defined Volunteers, ceases to belong to the Army Medical Reserve pyrexia, and 361 from diarrhoea, but not any from small-pox of Officers (dated August 5th, 1905). or from typhus fever. No death from any of these diseases OUR ARMY MEDICAL SERVICE. was recorded in Stoke the Newington ; among metropolitan The is an extract from Lord Roberts’s address on caused the lowest death-rates in Chelsea, following boroughs they defence on lst at a of the of the of Imperial August special meeting City Westminster, Hampstead, City London, members of the London Chamber of Commerce at the Camberwell, and Lewisham ; and the rates in highest Mansion as in the 1905 : Fulham, Finsbury, Shoreditch, Bethnal Green, Stepney, and House, reported Times, August 2nd, as the I have Poplar. The 91 deaths from measles were but half of Alarming figures quoted are, they only apply to the combatant branch of the there are other branches the correct the various metro- army ; important average number; among upon the efficiency of which the success of a campaign in no small politan boroughs this disease was proportionally most fatal degree depends. One very important branch is the medical. There 483 was a great outcry ill this country during the South African war when rarely now do we meet with the fulminating death-dealing it became known that the number of medical officers and nurses was scarlet fever that used to be prevalent ?7 Scarlet insufficient and that there was a lack of proper hospital equipment epidemics fever is now a almost exanthem. More and appliances. Civil surgeons and nurses w ere hurriedly entrained, mild, non-pyrexial additional field hospitals were despatched, and the timely aid afforded by frequently than not the child has little or no ra&h, is per- private persons was eagerly accepted. But the fact remains that for the fectly well after a couple of days’ slight feverishness, and first few months of the war the medical ere arrangements quite unequal returns to school in a week. fever is now as often to cope with the strain put upon them. For this I do not think anyone Typhoid can be blamed. Certainly not the medical officers, who were most accompanied with constipation as with diarrhoea, and small- devoted and untiring in their endeavours to overcome the enormous pox as modified by vaccination is almost unrecognisable difficulties with which had to contend.
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