1006 VITAL STATISTICS OF LONDON DURING SEPTEMBER, 1897. scarlet fever, and not one either from small-pox, measles, among the various sanitary areas in which the diphtheria, or whooping-cough. These 17 deaths were equal to patients had previously resided. During the five weeks an annual rate of 2 5 per 1000, the zymotic death-rate during ending Saturday, October 2nd, the deaths of 6687 persona the same period being 2’0 in London and 1-8 in Edin- belonging to London were registered, equal to an annual’ burgh. The fatal cases of diarrhoea, which had been 21 rate of 15-6 per 1000, against 13-9, 183, and. 23 in and 8 in the two preceding weeks, rose again to 10 last the three preceding months. The lowest death-rates week. The deaths referred to different forms of "fever," during September in the various sanitary areas were whichhad been 6,9, and 6 in the three preceding weeks, further 10’7 in Hampstead, 11’2 in Wandsworth, 11’5 in declined to 4 last week. The mortality from measles slightly St. James Westminster, 11’6 in Stoke Newington, 119’ exceeded that recorded in the preceding week. The 147 in St. George Hanover-square and in Lewisham (ex. deaths in Dublin last week included 34 of infants under cluding Penge), 12-5 in Kensington, and 12-8 in Lee; the one year of age and 39 of persons aged upwards of sixty highest rates were 20-4 in St. George Southwark, 21 in years; the deaths of both infants and of elderly persons St. Luke, 214 in Bermondsey, 215 in Shoreditch, 21’7 in showed a decline from those recorded in the preceding week. Limehouse, 224 in Clerkenwell, and 25-5 in St. George- Eight inquest cases and 6 deaths from violence were regis- in-the-East. During the five weeks of September 1050’ tered ; and 48, or nearly a third, of the deaths occurred in deaths were referred to the principal zymotic diseases public institutions. The causes of 14, or nearly 10 per cent., in London; of these, 485 resulted from diarrhoea, 187’ of the deaths in the city last week were not certified. from diphtheria, 126 from whooping-cough, 93 from measles, 85 from scarlet fever, 73 from enteric fever, and 1 from an ill-defined form of continued fever. These VITAL STATISTICS OF LONDON DURING SEPTEMBER, 1897. 1050 deaths were equal to an annual rate of 2’5 per deaths from of these diseases were In the table will be found summarised 1000. No any accompanying last month in St. Martin statistics to sickness and registered in - the - Fields;,;, complete relating mortality during in the other areas caused the lowest in each of the areas of London. sanitary they September forty-three sanitary death-rates in St. With regard to the notified cases of infectious disease in the George Hanover-square, Hampstead, last it that the number of Stoke Newington, St. Giles, Holborn, and Lee; and the metropolis month, appears rates in St. to be from one or other of the highest Clerkenwell, Shoreditch, George-in- persons reported suffering the-East, St. Southwark, St. Olave nine diseases specified in the table was equal to 13’3 George Southwark, per and Plumstead. The 93 fatal cases of measles 1000 of the estimated at 4,463,169 persons in the Bermondsey, population, were 16 below the corrected number the cor- middle of this In the three months the rates average in year. preceding the ten had been and 10-2 1000 responding periods of preceding years ; this disease 8-7, 11’2, per respectively. Among showed the in the various areas the rates were highest proportional fatality Shoreditch, sanitary considerably Limehouse, and St. Southwark below the average in Hammersmith, St. Hanover- Whitechapel, George George areas. The 85 deaths referred to scarlet fever square, Marylebone, Stoke St. sanitary Hampstead, Newington, were 36 below the corrected Martin-in-the-Fields, and while showed the average number ; among the Plumstead ; they various areas this disease was most excess in St. Bethnal sanitary proportionally largest Clerkenwell, Luke, Green, fatal in St. Mile End Old Town, St. South- Clerkenwell, George-in-the-East, Bermondsey, Whitechapel, George and Rotherhithe. The 187 fatal cases of were 16, and Battersea. one case of was diphtheria wark, Only small-pox below the corrected the from this notified in London 7, and 1 in average number; mortality during September, against 4, disease was in St, the three this case to St. Pancras highest Clerkenwell, Whitechapel, George preceding months; belonged and Wands worth sani- area. No case was admitted into Southwark, Bermondsey, Battersea, sanitary small-pox any areas. The deaths from were of the tary 126 whooping-cough 28:. Metropolitan Asylum Hospitals during September, below the corrected the various and no remained under treatment at the end of the average number; among patients areas this disease showed the month. The of fever in London showed a sanitary highest proportional prevalence scarlet in marked increase that recorded in recent fatality Fulham, Chelsea, Shoreditch, Bethnal-green, upon months; and St. Southwark. The 73 fatal cases of enteric this disease was most in St. James George proportionally prevalent fever were within 2 of the corrected this Strand, St. Luke, Lime- average number; Westminster, Hackney, Whitechapel, disease was most fatal in St. Southwark Mile End Old Town, Rotherhithe, and proportionally George house, Newington, area. The 485 deaths from diarrhoea were Battersea areas. The sanitary very sanitary Metropolitan Asylum Hospitals below the corrected contained 3585 scarlet fever at the end of slightly average number; among patients September, the various this disease showed the and 3390 at the end of the three sanitary areas highest against 2786, 3064, preceding in St. the admissions proportional fatality St. Luke, Shoreditch, George-in- months; weekly averaged 350, against 272, St. Saviour and St. Southwark. and 346 in the three months. The the-East, Southwark, George 364, preceding prevalence In it be stated that the of in London showed an increase that conclusion, may mortality during diphtheria upon from these diseases was recorded in the the various September principal zymotic nearly preceding month ; among 9 cent. below the areas this disease showed the per average. sanitary highest proportional Infant in measured the in Clerkenwell, St. Luke, Bethnal mortality London, by proportion prevalence Fulham, of deaths of one of to Battersea, and Camber- children under year age registered Green, Whitechapel, Bermondsey, was to 156 1000. the various well. There were 1033 under treatment births, equal per Among diphtheria patients areas the lowest rates of infant were in the at the end of sanitary mortality Metropolitan Asylum Hospitals Sep- recorded in Stoke St. St. Clave and 1006 at the end of the three Newington, Giles, Holborn, tember, against 864, 957, the rates. the admissions Southwark, Lewisham, and Woolwich ; and highest preceding months ; weekly averaged 150, in St. St. and 131 in the three months. Martin-in-the-Fields, Clerkenwell, Shoreditch, against 125, 139, preceding and Lee. The prevalence of enteric fever in London during the month George -in-the-East, Limehouse, Bermondsey, under notice showed a marked further increase upon that recorded in recent months; this disease was propor- tionately most prevalent in Stoke Newington, Hackney, St. Luke, City of London, Shoreditch, Limehouse, and St. THE SERVICES. Olave Southwark sanitary areas. The Metropolitan Asylum Hospitals contained 173 enteric fever patients at the end of September, against 70, 82, and 133 at the end of the ARMY MEDICAL STAFF. three preceding months ; the weekly admissions averaged SURGEON-LIEUTENANT P. 20 and in MACKESSACK, A.M.S., having 28, against 26 the two preceding months. himself at the Victoria for showed the in reported Royal Hospital, Netley, Erysipelas highest proportional prevalence duty, is posted to the Surgical Division from Oct. 5th. Marylebone, St. Giles, St. Luke, Bethnal Green, Whitechapel, Frederick M.D., and St. Southwark areas. The 23 cases of Brigade-Surgeon-Lieutenant-Colonel Lyons, George sanitary retires on retired puerperal fever notified in London during September pay. -- included 3 in Islington and 2 each in Kensington, Marylebone, Wandsworth, Camberwell, and Greenwich Ist Life fl1wrds:: Surgeon-Major Horatio R. 0. Cross, sanitary areas. from Royal Horse Guards, to be Surgeon-Major, vice Sur- The mortality statistics in the table relate to the geon-Lieutenant-Colonel J. S. Forrester, F.R.C.S. Edin., deaths of persons actually belonging to the various who exchanges. sanitary areas of the metropolis, the deaths occurring Royal Horse 6’M<M’ Surgeon-Lieutenant-Colonel James in the institutions of London having been distributed S. Forrester, F.R.C.S. Edin., from lst Life Guards, to be "THE EPIDEMIC OF TYPHOID FEVER AT MAIDSTONE." 1007 Surgeon-Lieutenant-Colonel, vice Surgeon-Major H. R. 0., to the Officer Commanding Militia Medical Staff Corps, who Alderahot. Cross, exchanges. -- At the quarterly of the directors of the Naval. INDIA AND THE INDIAN MEDICAL SERVICES. meeting Medical Supplemental Fund, held on the 12th inst.,. The services of the under-mentioned officers are placedt Inspector-General W. H. Lloyd, M.D., being in the chair, at the disposal of the Government of, the sum of E48 was distributed among the several permanently.-Surgeon- Captain Sunder (Bengal), Surgeon- applicants. Captain Maynard (Bengal), Surgeon - Captain O’Kinealy, and Surgeon - Captain F. C. Clarkson. The services of Surgeon-Lieutenant King (Bombay) are replaced at the disposal of the Military Department. Surgeon-Captain McNaught, A.M.S., has been transferred from the Bombay Correspondence. District to the Quetta District. Surgeon-Captain Newland, A.M.S., has been transferred from the Quetta District to the "And! alteram partem." Nagpore District.