STE 11 ANNUAL REPORT of the Medical Officer of Health and Public Analyst for the Metropolitan Borough of Stepney. 1910. REPORT of the MEDICAL OFFICER OF HEALTH AND PUBLIC ANALYST. FOR THE YEAR 1910. To the Mayor, Aldermen and Councillors of the Metropolitan Borough of Stepney. Gentlemen, I have much pleasure in submitting to you my tenth Annual Report, which deals with the Vital and Sanitary Statistics of the Borough of Stepney for the year 1910. Population. The resident population of the Borough of Stepney estimated to the middle of the year was 316,269; distributed as follows:— Limehouse District 59,464 St. George-in-the-East 54,071 Mile End Old Town 120,717 Whitechapel District 82,017 316,269 There is reason to believe that these figures are somewhat higher than the actual population at the present time. The further we are removed in time from the preceding census, the more inexact our estimated population becomes, and the less reliable are all vital statistics. For statistical and comparative purposes, it is almost impossible to depart from the method adopted by the Registrar-General in order to arrive at a correct estimate of the population. This method is based on the assumption, that the rate of increase which prevailed in the last completed intercensal period has been maintained since the census was made. The results obtained by this method are not correct, as is demonstrated when the following census is taken. In 1901, most of the houses in the Borough were occupied. In 1910, there were 2,529 unoccupied houses in the Borough. In 1901 and previous years, small houses were demolished and large model dwellings were erected on the sites, which was not the case in 1910, and the three or 'our years immediately preceding it. 2 Overcrowding was prevalent in 1901, and it was most difficult to abate it due to the dearth of empty houses. It was almost impossible to have a house without paying a premium which was called "key money." In 1904, the number of empty houses became abnormal, and the number was on the increase until 1908, as is seen by the following figures which the Borough Treasurer has supplied me with— In the quarter ended March 31st, 1904, the number was 1,073. In the quarter ended March 31st, 1906, the number was 1,670. In the quarter ended March 31st, 1907, the number was 2,865. In the quarter ended March 31st, 1908, the number was 2,944. In the quarter ended March 31st, 1909, the number was 2,729. In the quarter ended March 31st, 1910, the number was 2,529. Rents have been reduced with the result that families, which in 1901 could not afford to rent two rooms, are now able to rent three or more at the same price. This method of estimating the population, however, has advantages over others which are sometimes employed. One method is based upon the extent of the excess of the number of births over the number of deaths in any particular year. The excess of births over deaths is known as the natural increase " in the population, but the accuracy of this method obviously rests upon the absence of any marked difference between the immigration and emigration associated with the district concerned. In the Borough of Stepney, emigration and immigration profoundly affect the population, and any estimate based upon the natural increase of the population would be almost worthless. It will be thus understood that, after a certain period since the census was taken, all methods of estimating the population are liable to error. On the whole, the method adopted by the Registrar-General is the most reliable for this district, but if an allowance is made for unoccupied houses, it is probably about 23,000 less. This will have the effect of making the birth-rate and death-rate slightly higher than that recorded in this report. Births. The total number of births registered during the year was 9,167, or 335 less than in the preceding year. They consisted of 4,561 males and 4,606 females. 1,801 belonged to the Limehouse District, or at the rate of 30.2 per 1,000 of the population. 1,861 belonged to St. George-in-the-East, or at the rate of 34.4 per 1,000 of the population. 3 3,553 belonged to Mile End Old Town, or at the rate of 29.4 per 1,000 of the population. 1,952 belonged to the White chapel District, or at the rate of 23.5 per 1000 of the population. The birth-rate throughout the whole Borough was 28.9 per 1,000 of the population, while that for the whole of London was 23.6 per 1,000. The birth-rate is lower than in the preceding year, which was the lowest on record. It has been gradually declining year by year—with one or two exceptions—since 1896. The birth-rate of St. George's is slightly higher than in the preceding fear, but in the three other districts it is lower. 575 births occurred in the Mothers' Lying-in Home, Commercial Road:— 97 belonged to Mile End Old Town. 140 belonged to the Lime house District. 58 belonged to St. George-in-the-East. 23 belonged to the White chapel District. 247 belonged to outlying districts. 300 births occurred in the London Hospital:— 67 belonged to Mile End Old Town. 39 belonged to St. George-in-the-East. 23 belonged to the Lime house District. 24 belonged to the White chapel District. 147 belonged to outlying districts. 53 births occurred in St. George's Infirmary:— 50 belonged to St. George-in-the-East. 1 belonged to Mile End Old Town. 2 belonged to the Lime house District. 52 births occurred in the Mile End Infirmary:— 51 belonged to Mile End Old Town. 1 belonged to St. George-in-the-East. 103 births occurred in the White chapel Infirmary:— 80 belonged to the White chapel District. 7 belonged to Mile End Old Town. 2 belonged to the Lime house District. 1 belonged to St. George-in-the-East. 13 belonged to outlying districts. 4 26 births occurred in Poplar belonging to this Borough. Of these 24 occurred in the Poplar and Stepney Sick Asylum and belonged to the Limehouse district. 14 births belonging to the Borough of Stepney, occurred in the City of London Lying-in Hospital; 5 in the Queen Charlotte's Hospital; 3 each in the Lying-in-Hospital, Endell Street, and York Road Lying-in-Hospital, 2 in the Middlesex Hospital, 1 each in the Islington Infirmary and King's College Hospital, and 7 in private houses in other boroughs. Illegitimate Births, 32 illegitimate births were registered in the Lime house District, or at the rate of 17.7 per 1,000 births. 30 illegitimate births were registered in St. George's-in-the-East, or at the rate of 16.1 per 1,000 births. 60 illegitimate births were registered in Mile End Old Town; or at the rate of 16.8 per 1,000 births. 65 illegitimate births were registered in the White chapel District, or at the rate of 33'2 per 1,000 births. Marriages. The marriages during the year numbered 2,504, or 128 more than in the previous year. The proportion of persons married was 15 8 per 1,000 of the population, while that for the whole of London was 16 0 per 1,000. 444 marriages occurred in the Lime house District, or at the rate of 14.9 persons married per 1,000 of the population. 270 marriages occurred in St. George's-in-the-East, or at the rate of 9.9 persons married per 1,000 of the population. 1,290 marriages occurred in Mile End Old Town, or at the rate of 21.3 persons married per 1,000 of the population. 500 marriages occurred in the White chapel District, or at the rate of 12.2 persons married per 1,000 of the population. Deaths. The total number of deaths occurring in the Borough was 4,792 Deduct deaths occurring within the Borough among persons not belonging thereto 1,128 3,664 Add deaths of residents that occurred outside the Borough 635 4,299 TABLE TAKEN FROM THE ANNUAL SUMMARY OF THE REGISTRAR GENERAL. DEATH RATES FROM ALL CAUSES IN METROPOLITAN BOROUGHS IN THE 52 WEEKS ENDED 31st DECEMBER, 1910. These death rates have been corrected (1) for deaths in Public Institutions, &c., and (2) for differences of sex and age constitution of population, the population of England and Wales at the Census of 1901 being taken as the Standard. London Death Rate. Before correction for differences of sex and age constitution 12.7 per 1000 living. After correction for differences of sex and age constitution 13.4 ,, ,, ,, Death rates under 12 per 1000 are coloured thus— „ 12 and under 15 ,, ,, „ 15 and over ,, ,, 5 The following table shows the death.rate throughout the whole Borough and in the various districts since 1890:— Lime house. St. George's. Mile End. White chapel. The whole Borough 1890 26.8 35.0 20.0 24.0 25.2 1891 26.0 29.1 21.2 24.7 24.4 1892 25.5 27.8 23.0 25.2 24.9 1893 27.7 31.0 22.8 25.0 25.5 1894 24.2 26.5 21.1 20.3 22.3 1895 27.3 29.5 22.5 22.8 24.0 1896 23.7 24.4 19.9 20.1 21.7 1897 251 26.4 18.7 19.7 21.4 1898 23.7 24.8 23.4 19.7 22.7 1899 25.5 27.1 20.3 19.3 22.0 1900 25.9 24.4 19.3 18.1 21.0 1901 24.6 23.0 18.5 19.3 20.8 1902 23.6 22.1 19.0 19.2 20.5 1903 19.7 20.3 16.3 17.5 17.9 1904 23.2 21.4 18.2 17.4 19.5 1905 20.3 20.4 16.9 15.4 17.7 1906 21.0 19.1 16.5 16.0 17.6 1907 17.3 17.6 14.5 15.4 15.8 1908 20.1 17.2 15.7 14.9 16.6 1909 17.5 17.0 13.9 14.1 15.2 1910 15.6 14.9 12.8 12.3 13.5 The figures given above are not corrected for differences of sex and age constitution of the population, as in the preceding table of the Registrar General. Compared with 1909, the causes of death were:— Disease. 1909. 1910. Increase. Decrease. Small Pox 1 – – 1 Scarlet Fever 25 12 – 13 Enteric Fever 6 16 10 – Measles 236 93 – 113 Diphtheria 51 29 – 22 Croup 3 4 1 – Whooping Cough 65 110 45 – Diarrhœa 153 128 – 25 Enteritis 104 77 – 27 6 Rheumatic Fever 2 6 4 – Phthisis 521 410 – 111 Other Tubercular Diseases Bronchitis, Pneumonia, and other Respiratory 144 137 – 7 Diseases 1,162 953 – 209 Heart Disease 364 335 – 29 Influenza 65 43 – 22 Puerperal Fever 7 15 8 – Injuries 191 197 6 – Convulsive Diseases 125 118 – 7 Wasting Diseases 188 206 18 – Premature Births 156 151 – 5 Old Age 219 216 – 3 Cancer 202 228 26 – Alcoholism 52 30 – 22 All other causes 717 785 68 – 4,759 4,299 186 646 There were 622 inquests held on residents during the year. The causes of death assigned were as follows:— Accidents 98 Accidents and Diseases of child-birth, including Puerperal Fever 4 Alcoholism 10 Aneurism of Aorta 5 Arterial Degeneration 1 Apoplexy 34 Appendicitis 1 Bright's Disease 3 Burns (adults) 7 Cancer 6 Cerebellar Tumour 2 Coma, due to softening of Brain 1 Dirrhœa 2 Diseases of the Intestines 4 Diseases of the Lungs:— Bronchitis 19 Pneumonia 42 Phthisis 14 Other Respiratory Diseases 3 7 Diseases accelerated by self-neglect and want of proper nursing 14 Drowning 14 Embolism of Coronary Artery 1 Epilepsy 5 Gastric Ulcer 4 Heart Disease 56 Influenza 1 Inflammation of Spinal Cord 1 Manslaughter 2 Meningitis 3 Osteo-Myelitis 1 Pontine Hæmorrhage 1 Pyaemia 2 Rupture of Coronary Artery 1 Ptomaine Poisoning 2 Senility 4 Septicaemia 3 Shock while undergoing a necessary operation under the influence of an anæsthetic 5 Suicide 23 Syphilis 2 Snycope supervening on inflamed leg 1 Tetanus 1 Affecting CHILDREN (under five years of age):— Accidents 18 Accidents and Inattention at Birth 10 Accidental Suffocation caused by clothes in the cradle 2 Accidental Suffocation due to regurgitation of food into the Larynx while at the breast 1 Asphyxia supervening on retropharyngeal abscess 1 Asphyxia caused by a piece of orange skin lodging in the Glottis and preventing inspiration 1 Atelectasis 2 Bronchitis 5 Burns and Scalds 13 Collapse of Lung 1 Congenital Syphilis 1 Convulsions 44 Diarrhæa 13 Diphtheria 2 8 Gastro-Enteritis 2 Heart Failure 1 Haemorrhage after circumcision 1 Inanition 4 Laryngismus Stridulus 1 Marasmus 4 Measles 3 Murder 2 Overlain in bed by parents 29 Pneumonia 18 Premature births 17 Ptomaine poisoning 1 Pyaemia 1 Rickets 3 Septicaemia 1 Sepsis after circumcision 1 Spasm of Glottis 5 Status Lymphaticus 2 Syncope 2 Tuberculosis 2 Tubercular Meningitis 1 Whooping Cough 4 622 There were 10 deaths due to accidents caused by Motor omnibuses, 4 by Motor cars, 2 by Taxicabs and 6 by Electric Trams, an increase of nine deaths from that in the previous two years. The following is a list of the Outlying Institutions and the number of residents who died in them during the year:— Bethnal Green Infirmary 6 Butchers' Institution, Fulham 1 Cancer Hospital 2 Central London Sick Asylum 1 Central London Throat and Ear Hospital 1 Children's Hospital, Great Ormond Street 11 Children's Infirmary, Carshalton 9 Charing Cross Hospital 2 Cheyne Hospital 1 City of London Infirmary 2 City of London Chest Hospital 9 City of London Sick Asylum 1 9 Fever Hospitals:— Eastern Fever Hospital 12 Park Fever Hospital 1 South Eastern Fever Hospital 18 Friedenheim Hospital 2 German Hospital 18 Guy's Hospital 4 Great Northern Hospital 1 H.M. Prison, Wandsworth 1 Home for Incurable Children, Hampstead 1 Homeopathic Hospital 1 Hostel of God 1 King's College Hospital 5 Lunatic Asylums:— Banstead 24 Bethnal House 2 Cane Hill 2 Caterham 9 Claybury 26 Colney Hatch 46 Darenth 3 Dartford 11 Hanwell 3 Horton 7 Leavesden 22 Long Grove 11 Tooting Bec 24 Metropolitan Hospital 4 Middlesex Hospital 1 Mildmay Hospital 2 105, Nightingale Lane, Streatham 3 Poplar Hospital 8 Poplar and Stepney Sick Asylum 194 Poplar Workhouse 1 Queen's Hospital 18 Queen Alexandra Military Hospital 2 Royal Chest Hospital 2 Royal Hospital for Incurables 1 St. Anne's House, Stoke Newington 2 St. Bartholomew's Hospital 10 10 St. Joseph's Hospice 2 St. Luke's House, Kensington 4 St. Mary's Hospital 1 St. Thomas's Hospital 1 Seamen's Hospital 1 Sick Asylum, Blackwall 4 Stepney Workhouse 71 West London Hospital 2 635 The following number of deaths of residents occurred in Public Institutions in the Borough:— East London Hospital for Children 234 London Hospital 481 Mile End Infirmary 345 Mothers' Lying-in Home, Commercial Road 6 St. George's Infirmary 279 Spanish and Portuguese Home 1 White chapel Infirmary 275 White chapel Workhouse, South Grove 36 1657 There were 1,128 deaths of non-residents in Public Institutions in the District. Notifiable Diseases. 1,374 notifications of Infectious Disease were received, or 668 less than in the previous year and 1,738 less than in 1908. This corresponds to a rate of 4.34 per 1,000 of the population. 1,068 were removed to various Hospitals and Infirmaries. 263 belonged to the Limehouse District, or at the rate of 4.42 per 1,000. 265 belonged to St. George-in-the-East, or at the rate of 4.90 per 1,000. 487 belonged to Mile End Old Town, or at the rate of 4.03 per 1,000. 359 belonged to the Whitechapel District, or at the rate of 4.37 per 1,000. The greatest number of notifiable diseases occurred during the fourth week in October, when 44 cases were notified. 11 The greatest number of notifications of Scarlet Fever in one week was 21, which occurred in the first week in August, and 19 of Diphtheria in the second and third weeks of October. The number of cases of Enteric Fever reached its maximum of 10 in the second week in September, which is an earlier date than in preceding years. The largest number of Notifiable Diseases occurred during the third week of October in the Lime house and White chapel Districts, the last week of June in St. George's, the third week of January and the last week of September in Mile End. Wrong Diagnosis. 117 cases of Infectious Disease were removed to the Hospitals of the Metropolitan Asylums Board, which were subsequently returned home in consequence of the patient being found not to be suffering from the disease stated on the certificate, or any other notifiable disease. 38 of the cases were notified from the London Hospital and 20 from other public institutions. This number consisted of 57 cases of Scarlet Fever, 8 cases of Typhoid Fever, 51 cases of Diphtheria and 1 case of Cerebro-Spinal Fever. Bacteriological Examinations. 456 specimens were bacteriologically examined, 175 giving positive results. They included 1 examination of a rat for bacillus pestis and 340 specimens of sputum in suspected cases of Consumption. No. Positive. No. Negative. Consumption 139 201 Diphtheria 28 67 Enteric Fever 8 12 175 280 Small Pox. No case of Small Pox occurred in the Borough during the year. On January 5th, 1910, C.A. was removed to the Small Pox Hospital from the s.s. "Perm," which carried immigrants from Libau. The patient was taken ill on board the ship on January 1st, and the rash appeared on January 3rd. After they 12 landed, they were brought to 64, White chapel Road. Two other families who had been in contact with the patient were taken to the shipping agent's receiving house in Crellin Street. One family consisted of eleven people and the other of nine people. These twenty-three people (which included three from 64, Whitechapel Road) were taken to the Council's Shelter and were kept under supervision during the incubation period. As they were transmigrants and not ratepayers, I insisted that they should be fed at the shipping agent's expense, which was done. Scarlet Fever. 498 cases of Scarlet Fever were notified during the year, or 478 less than in the previous year. 475 were removed to the various Fever Hospitals. 98 belonged to the Lime house District, with 2 deaths. 84 belonged to St. George-in-the-East, with 3 deaths. 188 belonged to Mile End Old Town, with 5 deaths. 128 belonged to the White chapel District, with 2 deaths. The death rate for the Borough was .03 per 1,000 of the population, while that for the whole of London was .04 per 1,000. Diphtheria and Membranous Croup. 352 cases were notified during the year, or 139 less than in the previous year, and 336 were removed to Fever Hospitals. 79 belonged to the Lime house District, with 6 deaths, which is equivalent to a death rate of .10 per 1,000 of the population. 88 belonged to St. George-in-the-East, with 10 deaths, which is equivalent to a death rate of .18 per 1,000 of the population. 118 belonged to Mile End Old Town, with 10 deaths, which is equivalent to a death rate of .08 per 1,000 of the population. 67 belonged to the White chapel District, with 7 deaths, which is equivalent to a death rate of .08 per 1,000 of the population. The death rate throughout the Borough was .10 per 1,000 of the population. The death rate for the whole of London was .09 per 1,000. Chart showing the number of cases notified week by week in the Borough, of Scarlet Fever, Typhoid Fever, and Diphtheria during 1910 13 Enteric Fever. Ill cases of Enteric Fever were notified during the year, or 48 more than in the previous year. 19 occurred in the Limehouse District, with 4 deaths. 24 occurred in St. George-in-the-East, with 4 deaths. 50 occurred in Mile End Old Town, with 6 deaths. 18 occurred in the Whitechapel District, with 2 deaths. The death rate throughout the Borough was .05 per 1,000 of the population. The death rate for the whole of London was .04 per 1,000. Erysipelas. 377 cases of Erysipelas were notified, or 107 less than in the previous year. 61 belonged to the Limehouse District, with 3 deaths. 63 belonged to St. George-in-the-East, with 2 deaths. 119 belonged to Mile End Old Town, with 2 deaths. 134 belonged to the Whitechapel District, with 1 death. Cerebro-Spinal Fever. G cases were notified during the year, 2 having occurred in the Limehouse District, 2 in St. George-in-the-East, 1 in Mile End Old Town and 1 in the Whitechapel District. Puerperal Fever. 30 cases of Puerperal Fever were notified, or 18 more than in the previous year. 4 occurred in the Limehouse District, with 4 deaths. 4 occurred in St. George-in-the-East, with 2 deaths. 11 occurred in Mile End Old Town, with 5 deaths. 11 occurred in the Whitechapel District, with 4 deaths. 14 Zymotic Diseases. The total deaths from diseases of a Zymotic character numbered 407. It includes deaths from Measles, Scarlet Fever, Whooping Cough, Diphtheria, Croup, Enteric Fever, Puerperal Fever and Diarrhoea. The number is 139 less than in the previous year. 108 belonged to the Limehouse District, or at the rate of 1.81 per 1,000 of the population. 85 belonged to St. George-in-the-East, or at the rate of 1.57 per 1,000 of the population. 138 belonged to Mile End Old Town, or at the rate of 1.14 per 1,000 of the population. 76 belonged to the Whitechapel District, or at the rate of 0.93 per 1,000 of the population. The number of deaths from Measles was 93, or 143 less than in the previous 23 belonged to the Limehouse District, or at the rate of .38 per 1,000 of the population. 19 belonged to St. George-in-the-East, or at the rate of .35 per 1,000 of the population. 27 belonged to Mile End Old Town, or at the rate of .22 per 1,000 of the population. 24 belonged to the Whitechapel District, or at the rate of .29 per 1,000 of the population. The death rate for the whole Borough was .29 per 1,000 of the population whilst that for the whole of London was .41 per 1,000. Measles year. The number of deaths from Measles in the Borough since 1901 was as follows :— 1901 155 1902 158 1903 162 1904 176 15 1905 151 1906 171 1907 155 1908 264 1909 236 1910 93 All these deaths, with one exception, were those of children under five years of age. Certain class rooms were closed, or the unprotected children under five years of age were excluded in twenty-three Schools in the Borough for a certain period of 1910 ranging from three days to three weeks. Whooping Cough. The number of deaths from Whooping Cough was 110, or 45 more than in the previous year. This corresponds to a death rate of .34 per 1,000 of the population, while that for the whole of London was .28 per 1,000. 42 belonged to the Limehouse District, or at the rate of .70 per 1,000 of the population. 16 belonged to St. George-in-the-East, or at the rate of .29 per 1.000 of the population. 40 belonged to Mile End Old Town, or at the rate of .33 per 1,000 of the population. 12 belonged to the Whitechapel District, or at the rate of .14 per 1,000 of the population. Diarrhoea. The number of deaths from Diarrhoea (which includes Epidemic and Zymotic Enteritis, Dysentery and Dysenteric Diarrhoea, Cholera and Choleraic Diarrhoea) was 128. Of these 103 were under one year of age. 27 belonged to the Limehouse District, or at the rate of .45 per 1,000 of the population. 31 belonged to St. George-in-the-East, or at the rate of .56 per 1,000 of the population. 16 45 belonged to Mile End Old Town, or at the rate of .37 per 1,000 of the population. 25 belonged to the Whitechapel District, or at the rate of .30 per 1,000 of the population. The death rate for the whole Borough was .40 per 1,000 of the population. The death rate for the whole of London was .28 per 1,000. Enteritis. The number of deaths from Enteritis, which includes Gastritis, Gastro-enteritis, Muco-enteritis and Gastric Catarrh, was 77. Of these 51 were under one year of age. 21 belonged to the Limehouse District, or at the rate of .38 per 1,000 of the population. 13 belonged to St. George-in-the-East, or at the rate of .24 per 1,000 of the population. 25 belonged to Mile End Old Town, or at the rate of .20 per 1,000 of the population. 18 belonged to the Whitechapel District, or at the rate of .21 per 1,000 of the population. Diseases of Respiratory Organs. There were 953 deaths due to diseases of the Respiratory Organs, which correponds to a death rate of 3.01 per 1,000 of the population. 222 belonged to the Limehouse District, or at the rate of 3.73 per 1,000 of the population. 178 belonged to St. George-in-the-East, or at the rate of 3.29 per 1,000 of the population. 309 belonged to Mile End Old Town, or at the rate of 2.55 per 1,000 of the population. 244 belonged to the Whitechapel District, or at the rate of 2.97 per 1,000 of the population. 17 Phthisis. 410 deaths occurred during the year from Phthisis, or 111 less than in the previous year. This corresponds to a death rate of 1.29 per 1,000 of the population, while that for the whole of London was 1.14 per 1,000. 74 belonged to the Limehouse District, or at the rate of 1.24 per 1,000 of the population. 80 belonged to St. George-in-the-East, or at the rate of 1.46 per 1,000 of the population. 146 belonged to Mile End Old Town, or at the rate of 1.20 per 1,000 of the population. 110 belonged to the Whitechapel District, or at the rate of 1.34 per 1,000 of the population. Number of deaths from Consumption from 1901 to 1910 :— Limehouse District. St. George's. Mile End. Whitechapel. Whole Borough 1901 125 186 107 208 626 1902 130 105 168 173 576 1903 123 122 189 193 627 1904 143 119 229 198 689 1905 98 117 171 187 573 1906 116 94 178 135 526 1907 98 90 141 153 482 1908 98 79 154 163 494 1909 93 102 146 180 521 1910 74 80 146 110 410 Other Tubercular Diseases. There were 137 deaths of Tuberculous Diseases other than Phthisis, or 7 less than in the previous year. This corresponds to a death rate of .43 per 1,000 of the population. 33 belonged to the Limehouse District, or at the rate of .55 per 1,000 of the population. 26 belonged to St. George-in-the-East, or at the rate of .48 per 1,000 of the population. 18 43 belonged to Mile End Old Town, or at the rate of .35 per 1,000 of the population. 35 belonged to the Whitechapel District, or at the rate of .42 per 1,000 of the population. Deaths from Diseases of a Tubercular nature, other than Consumption, from 1901 to 1910 :— Limehouse District. St. George's. Mile End. Whitechapel Whole Borough. 1901 60 73 54 52 239 1902 43 49 89 52 233 1903 52 37. 61 45 195 1904 44 35 61 34 174 1905 42 29 53 35 159 1906 57 47 53 57 214 1907 51 50 59 42 202 1908 38 40 64 25 167 1909 37 41 40 26 144 1910 33 26 43 35 137 Public Health (Tuberculosis) Regula tions, 1908. 397 cases of Pulmonary Tuberculosis were notified uj nder the above Regula- tions during the year, viz. :— Limehouse 72 St. George-in-the-East 91 Mile End 120 Whitechapel 114 397 AGES OF PERSONS NOTIFIED. Under Between Between Between Over 5 years. 5 and 15. 15 and 25. 25 and 65. 65. Total Limehouse 1 4 9 56 2 72 St. George's — 3 13 75 - 91 Mile End - 5 17 93 5 120 Whitechapel -- — 10 99 5 114 Totals 1 12 49 323 12 397 In addition, 102 duplicate notifications and 119 " Form C " have been received 60 cases were voluntarily notified. 19 COPY OF A REPORT SUBMITTED TO THE PUBLIC HEALTH COMMITTEE ON THE SANATORIUM TREATMENT OF CONSUMPTION. To the Chairman and Members oj the Public Health Committee. Gentlemen, In accordance with your instructions at the last meeting of the Public Health Committee, I beg to submit my report on the Sanatorium treatment of Consumptives. In attempting to answer the question whether the sanatorium treatment of consumptives has justified the expectations of its earlier advocates, we must not confuse the expectations of the expert with those of the " man in the street.'' Some members of the public already hint that popular expectation has not been realised ; but to expect the impossible is to ensure disappointment. It is always well to set a high standard, and to refuse to be satisfied until this is attained ; but the standard must not be an impossible ideal. Nevertheless, we should be satisfied with nothing short of what has been shown to be possible under the most favourable conditions. What may reasonably be expected from sanatorium treatment of consumption. Every case in whatever stage of the disease cannot be cured in three months, though this is, probably, what the public has come to believe, was anticipated. Some cases in the earliest stages may become cured in less than three months. Many early cases can be put well on the way to complete recovery in three months, and even more advanced cases may in this time be started in a direction which will lead to recovery if persistently followed for some months after leaving the sanatorium. Unfortunately, few cases enter the sanatorium whilst their disease is in such an early stage, that cure is to be anticipated in three months. Of the early cases who enter the sanatorium in such a condition that cure may be expected, if treatment is persisted in, some are unable to remain for the required time, due to pecuniary reasons. These reasons must be taken into consideration if complete success is to be hoped for in the future. The patient perhaps, is obliged to return to work, in crder to suppoit his family. Unless he returns to work, possibly his place will be filled, and his prospects ruined. In such cases, much, if not all the good which was derived from the treatment, may be lost. It is just as well that we should realise that the " three months' cure " is only possible in the earliest cases. It requires great patience from the consumptive if he is to get well. He may get worse rapidly, he can only get well slowly. The patient who is encouraged to believe that if he goes to a sanatorium for a few weeks he will get well, is discouraged, if at the end of the stated time he is still uncured. 20 Apart from the question of cost, we must also consider the fact that the moral condition of the patient may degenerate as an effect of prolonged idleness. As will be seen later, in some sanatoria, -this difficulty is overcome partially by providing occupation for the patients. As far as possible, this occupation should be of an outdoor nature. In this district, a large number of consumptives consists of tailors. It will be readily seen how injurious it would be for the patient, and how useless the sanatorium treatment would be, if the consumptive returned to his trade and former surroundings. The probable cause of his illness, is the posture in which he works, and the inhalation of the foul atmosphere during long hours every day in a crowded workroom. A return to his former occupation under these circumstances, would soon be followed by a break down in his health. Speaking generally, in spite of the comparatively large percentage of " cures," the results of sanatorium treatment cannot be considered entirely satisfactory, in that comparatively few consumptives are able to obtain admission to a sanatorium, and so large a proportion of those who are admitted, must return to conditions and surroundings unfavourable to their continuing well. So far as they go, the figures given below are, on the whole, fairly satisfactory. They show that sanatorium treatment can do much, as a large proportion of cases leave the institution well on the road towards recovery. Though the condition of the patient when he leaves the sanatorium is encouraging, it is necessary to enquire afterwards to ascertain whether the improvement is maintained. If the improvement does not withstand the strain of work, we are not justified in speaking of a " cure." I have made enquiries as to the results in some of the sanatoria, where it is possible for this Council to make arrangements to retain beds at reasonable costs, and in which endeavours are made to keep in touch with its former inmates. Many remain in good health, others relapse. The latter may cause a feeling of disappointment, but I do not think they are discouraging. I have no doubt that some who are classed as only " improved," return to full work, and remain well. The disappointment which sometimes results from sanatorium treatment is due in great measure to the fact that so few patients apply for treatment in the early stage. This is in some degree owing to the difficulty of diagnosis in the initial stage of the disease, but in very much greater measure to the failure of the person to seek relief. When the means of living depend upon continuance of work, a man will not give in for apparently trifling ill-health. If others are dependent upon the earnings of the individual, there is even greater reason to continue work as long as the strength allows. Thus, the working man does not always seek relief in the early stage of consumption, nor does the woman who is employed in business. The house-wife- 21 though working equally hard, can more easily take a few hours to go to the out patients' department of a hospital, as she has not to obtain an employer's leave to absent herself from work. She may be under the impression that she is suffering from weakness, indigestion, or other slight ailment, but, the true nature of the illness is often detected at the hospital, and thus is explained probably the reason, that a greater proportion of women than of men enter the sanatorium in an early stage of the disease. Early cases may be detected sooner if the " Tuberculosis Dispensary," system becomes more in vogue. Such a dispensary has been in existence for 21 years in Edinburgh, and one has been established in Paddington for the last 18 months or 2 years. Another one is shortly to be started in the Borough of Stepney. It is claimed that this system offers the best method of dealing with the consumption problem by the provision of:— (1) Effective curative treatment. (2) Effective method of prevention. (3) Effective machinery for dealing with the problem as a whole. The physician of a Tuberculosis Dispensary visits the patients in their own homes and by personal influence insures that his instructions are carried out, while at the same time he obtains first hand information as to the conditions of home and other environments which have produced the disease. These advantages in the prevention and early diagnosis of consumption are obvious. The doctor having thus become acquainted with members of the family, finds it easy to persuade them to submit to examination. Thus, a great number of early cases are discovered which may be arrested in good time. These " contact " cases would, in the absence of a system of home visitation, possibly remain undiscovered until too late. The domiciliary visit has often the further advantage of discovering an active focus of infection in the person of a chronic consumptive not under any medical treatment. I do not know of a better system by which early cases of consumption can be discovered. Having discovered early cases we have still two great difficulties, first—as I have already stated—the pecuniary one ; and secondly, the want of accommodation. The working-man may not have to pay for sanatorium treatment, but he may have to wait such a long time for a vacancy in the sanatorium where admission is gained by a subscriber's letter, that, when at length he is admitted, he is no longer an '' early case." The waiting period may be anything from three to four months, or even longer in such sanatoria. There is also the difficulty of making provision for those dependent upon the consumptive, while he is unable to work. 22 I have already referred to the danger of the consumptive going back to his family impoverished by his enforced idleness, and to the same unhygienic surroundings which he had left, on entering the sanatorium. One cannot wonder that his health does not continue to improve under these conditions. The statistics of a sanatorium show a most encouraging proportion of patients 'eaving the institution " improved " or " much improved," but people often measure the success of treatment by their personal observation of individual patients, after their discharge from the institution. We cannot expect them to be impressed with the success of the treatment, when they see the patient, who left the sanatorium nearly well, dying within a few months of his discharge. It is not the " treatment " which is at fault, but the conditions which render the proper treatment almost impossible. Maitland Sanatorium.—In all cases, patients are received for a month at firstAt the end of this time it is decided whether or not their stay should be extended. The average duration of treatment is three months, and it is assumed that every patient will be able to stay for this period, if the medical superintendent and the doctor who sends the patient, think it advisable. The Sanatorium system consists of a graduated scale of rest, exercise, and work, ordered for each individual according to his or her condition, with a constant accompaniment of pure bracing air, good food, and careful supervision. The system of graduated work has been proved to give such excellent results, that it is considered as essential a part of the treatment as fresh air or good food. According to their fitness, patients are graduated to various degrees of work, after a preliminary period of rest, when necessary. For men patients, the classes of work are as follows :— Class A.—Light domestic work, such as cleaning of silver, brass, lamps, basins, &c. ; tarring woodwork, painting, &c. Class B.—Light gardening ; window-cleaning ; small repairs ; wood-chopping. Class C.—Spade-work (light or heavy spades); wheeling barrows ; path-making ; trenching ; farm-work ; carpentering, &c. The hours of work, also; are graduated from one hour onwards ; in some cases, the full test of eight hours a day is reached. When a patient can stay a sufficient length of time to reach the full test of an ordinary working day, without rise of temperature, or any indication of undue fatigue, he can leave the Sanatorium with confidence in himself, and he can be recommended for employment with some feeling 23 of security. It has been found that the training in out-door work given in the Sanatorium, has enabled patients occupied previously in unsuitable work in factories or offices, to obtain out-door employment greatly to their own benefit. The women patients do needlework, house-work, gardening, Swedish drill, &c., in varying degrees. To establish an " economic cure " (i.e., one which renders the patient capable of recovering his place in the working world), it is often most desirable to provide an opportunity for a continuation of open-air work, after the period of actual Sanatorium treatment is completed. The conduct of the Sanatorium and the estate offers abundant scope for work of this kind, but a sum of 10s. to 15s. a week is required for the maintenance of the workers, who are still patients, and who share in all the advantages of the Sanatorium life as to supervision, food, &c. If break-downs occur, the " working patients " at once become ordinary patients until they are well again, and in this way many difficult cases have been tided over the critical time of returning to full work. This feature of the Sanatorium work is of the utmost value, and help is asked by the Sanatorium Committee, to further develop its opportunities and usefulness, by subscriptions to the " Working Patients' Maintenance Fund," to which, also, any profit on the working of the institution is transferred. The members of the " Working Patient's Staff " form a considerable number of regular officers of the Sanatorium, and these are paid according to their value to the institution, as well as receiving residence, board, laundry and medical supervision. Only patients who have passed through the Sanatorium in the ordinary way are taken on as workers. Torquay Sanatorium.—Ninety patients were admitted during the year July, 1908-1909, of whom 49 were males and 41 females. Of this number, the disease was arrested in 33 cases ; 22 were very much improved ; 16 much improved; 12 improved ; and 7 were stationary. There were no deaths. The number of cases in which the disease was arrested exceeds that of any previous year. This is attributed to the greater care which has been exercised in the selection of cases sent for treatment. Nearly all of those who are classed as " very much improved " have been enabled to return to their former occupation provided that it was of a suitable nature ; and the same may be said, to a less extent, of those classed as "much improved;'» while of those classed as " improved," some returned to their own houses, and others to similar institutions for " open-air treatment." 24 Benenden Sanatorium, Kent.—During the year 1909, 226 patients left the Sanatorium in the following condition :— Arrested 94 or 41.7 per cent. Improved 99 or 43.8 per cent. Unimproved 32 or 14.1 per cent. Died 1 or .4 per cent. 226 Patients are admitted in various stages of the disease, and are classified as follows :— Class 1.—One lobe of the lung affected. Early tuberculosis. Class 2.—Two lobes affected. Moderately advanced. Class 3.—Three or more lobes affected. Advanced. The following table gives the results obtained in each class :— Class 1 Class 2. Class 3. Arrested 64 or 72 per cent. 24 39 per cent. 6 or 8 per cent. Improved 23 or 26 31 51 ,, 45 or 59 ,, Unimproved 2 or 2 „ 6 10 ,, 24 or 31.5 ,, Died — - 1 or 1.5 ,, 89 61 70 As is always the case, the results obtained are far better when the disease is in an early stage than when it is advanced, and the urgent need for early diagnosis and treatment is thus demonstrated. If we exclude the patients in the third class, it will be found that 95 per cent, of the patients improve more or less during their stay. The length of stay of the patients is again longer than that obtained at most sanatoria for the working classes, as the average is 13 weeks G days, and, excluding those patients discharged at the end of a month as unsuitable, the average is 15 weeks. The average gain in weight was 10 lbs. 12 oz., being 4 oz. more then the previous year. In Class 1, the average gain was 12 lb. 11 oz. In Class 2, the average gain was 12 lb. 1 oz. In Class 3, the average gain was 7 lb. 8 oz. 25 Each patient, on the average, gained 12 oz. a week during his stay, an increase of 1 oz. on the previous year's average, which is attributed to the altered diet which has therefore been satisfactory. An attempt is made to keep in touch with as many patients as possible, by writing to them at regular intervals, and in this way some very important and interesting results have been obtained. It is only by ascertaining how many of the patients keep in good health after leaving the Sanatorium, that the efficacy of the treatment can be proved. All patients are written to six months after they leave, again at the end of twelve months after leaving, and afterwards at intervals of twelve months. 98 patients left the Sanatorium more than six months, and less than twelve months ago, and of these 83 have been traced. 38 of these are doing full work. 4 of these are doing partial work. 21 of these are doing no work. 13 of these are dead. 7 have been re-admitted. 156 patients left the Sanatorium more than twelve months, and less than two years ago, and of these 119 have been traced. 53 of these are doing full work. 7 of these are doing partial work. 12 of these are doing no work. 37 of these are dead. 10 have been re-admitted. 54 patients left the Sanatorium more than two years ago, and 42 of them have been traced. 19 of these are doing full work. 2 of these are doing partial work. 6 of these are doing no work. 15 of these are dead. Doubt has at times been cast upon the permanence of the cure, even in those who leave sanatoria with the disease arrested. The following tables give the after results, classified according to the condition of the patient on discharge. 26 Patients who left more than six months and less than twelve months ago :— Conditions on discharge. Full work. Partial work. No work Dead. Total. Arrested 26 1 3 — 30 Improved 12 2 14 5 33 Unimproved 1 1 4 8 14 24 have not been traced or have been re-admitted. Patients who left more than twelve months ago :— Conditions on discharge. Full work. Partial work. No work. Dead. Total. Arrested 44 3 3 4 54 Improved 17 3 10 18 48 Unimproved — 1 3 16 20 47 have not been traced or have been re-admitted. Patients who left more than two years ago :— Conditions on discharge. Full work. Partial work. No work. Dead. Total Arrested 9 2 2 — 13 Improved 8 — 3 7 18 Unimproved 2 — 1 8 11 12 have not been traced. Of the patients who have left the Sanatorium with the disease arrested 81.4 per cent, are still doing full work. Some of those who are not doing any work are in good health, but are out of employment for other reasons. King Edward VII. Sanatorium, Midhurst.—Information has been obtained as to the condition of 377 (92.8 per cent.) of the 406 patients who were discharged during the years July, 1906-1907 and [ulv, 1907-1908. GROUP 1. Year of Discharge. Number discharged. Number well or alive in each successive year after discharge. Number known to be dead in 1909. Number lost sight of in 1909. 1907-8. 1908-9. 1906-1907 46 44 35 6 5 1907-1908 79 — 71 3 5 27 In this group, of the 46 cases of early disease who were discharged during the year 1906-7, 35 or 76 per cent, were alive or well at the end of 1909. Whereas in the following groups of more advanced cases, of 63 patients classified under Group 2, 45 or 71 per cent., and of 40 patients in Group 3, 14 or 35 per cent, were well or alive at the end of 1909. GROUP 2. Year of Discharge. Number discharged. Number well or alive in each successive year after discharge. Number known to be dead in 1909. Number lost sight of in 1909. 1907-8. 1908-9. 1906-1907 63 53 45 12 6 1907-1908 108 — 81 19 8 GROUP 3. Year of Discharge. Number discharged. Number well or alive in each successive year after discharge. Number known to be dead in 1909. Number lost sight of in 1909. 1907-8. 1908-9. 1906-1907 40 18 14 24 2 1907-1908 70 — 37 30 3 With regard to occupation the very large proportion of these patients returned, after their discharge from the Sanatorium, to their original occupations. It is of interest to note that indoor work, such as that of a clerk or a teacher, has proved quite compatible with continued good health. Very few patients return to an outdoor occupation ; but those whose work allows of them being out of doors for a considerable portion of the day, such as for instance, clergymen, surveyors, and medical men in the country, have almost invariably done well. Remunerative work, which allows of a former patient living for the most part in the open air, has proved very difficult to obtain. Lack of the capital necessary to re-commence life as a farmer, poultry keeper, fruit or vegetable grower, &c., is the chief obstacle to patients going back to the land. A few patients only have emigrated, and they for the most part have done well. Amongst these the following may be quoted :—A former clerk wrote to the Medical Superintendent from British 28 Columbia that his health is excellent. He has been ploughing, hoeing and gardening for twelve hours a day, and has found it rather a strain. He is now driving a milk waggon fourteen miles a day into the town. Another patient, formerly a lecturer in the City, also wrote from British Columbia. He "is not following any special treatment, but lives almost entirely out of doors, and sleeps in a tent for ten months of the year. He is training as a farmer." A former theological student, who emigrated to South Africa in 1907, reports that his health is good, and that he is teaching school subjects and carpentering at a mission station in Basutoland. A lady patient, contemporary with the last-mentioned at the Sanatorium, also emigrated to South Africa. She obtained a good appointment in a school in the Orange River Colony, and is at present employed, and enjoying good health. Several patients have obtained work in Buenos Aires, some as agents for London business houses, and two as surveyors. The reports received from all these patients are satisfactory. From the reports received from these patients, the capacity to adapt himself to the peculiar social and economic conditions of a new country is, apart from the question of health, about the most important asset which an emigrant can possess. A practical knowledge of some trade, or in the case of patients going out to farms, or ranches, a practical acquaintance with the everyday work on a general farm, is also most desirable, if not essential, for success. At the Victoria Hospital for Consumption in Edinburgh—which was one of the first to institute the open-air treatment—of 782 patients received since 1887,25 per cent. were, to all appearances, cured, while 50 per cent. were ameliorated to a certain extent. Dr. Burton-Fanning, Physician to the Kelling Open-air Sanatorium states, that without the exercise of strict selection of cases for treatment, about one quarter recovered their health sufficiently to return to work. Another quarter are not strikingly or materially improved. The remaining one-half are distinctly benefited, but are unable to lead ordinary lives. When only favourable or strictly selected cases are dealt with, it may be claimed that about three-quarters of them are restored to fitness for work. It will be seen then how strikingly results are affected by the selection of cases for the treatment. Success may be said chiefly to depend upon submitting the patients to treatment while their disease is in its early or tractable stage. 29 Consulting continental statistics, Dr. Rumpf of Freidrichsheim states that of 541 cases treated, 75.6 per cent. of those whose malady was in the first stage were discharged able to work. Durability of Results —For the purpose of inquiring as to the durability of the results obtained by sanatorium treatment, the statistics of German Sanatoria are more reliable, as they are not of such recent origin as English institutions. Dettweiler's important report states, that out of 1,022 cases of confirmed consumption treated during a space of 10 years at Falkenstein, 132 patients were discharged as absolutely cured. After a period of from 3 to 9 years, he wrote to 99 of the 132 cases, and received replies from 98 of them. Dettweiler learnt that 11 patients had died of affections which were not tubercular; 12 had suffered from recrudescence of their consumption, and had again recovered completely; 3 were still ill with consumption; the remaining 72 patients maintained their recoveries. That is to say, 72.5 per cent. of the patients discharged cured, retained their satisfactory positions after the lapse of from 3 to 9 years. The results by Dr. Rumpf of Freidrichsheim are almost identical, but refer to a period of only two or three years subsequently to the discharge of the patients. Of those received in the first stage of their malady 75.6 per cent. were still able to work. Of the 143 patients treated at the Mudesley Sanatorium during the last 5 years, 47 or 32.86 per cent. of the whole number were considered fit for work at the end of their course. In to 5 years after their discharge:— 36 or 76.6 per cent. maintained their satisfactory condition. 3 or 6.39 per cent. relapsed. 6 or 12.76 per cent. there were no history. 2 or 4.25 per cent. died. Of the last number, one died from appendicitis and the other from pneumonia. At the Kelling Sanatorium which has been open for 6 years, it is stated that when the cases are taken in hand at an early stage of the disease, over 60 per cent. make recoveries which allow them to keep at work for at least 5 years. Educational effect of the Treatment.—In connection with this subject, we must not forget that the mission of the Sanatorium is not only to afford all the possible alleviation to the patient, while he is an inmate, but it also fulfils the important function of educating the patient. He obtains information as to the best way of keeping his disease in check, and he also learns how to minimise the danger of infection for his fellows, and is able to apply these principles in his own home afterwards. 30 He learns by personal experience what is of real value, and what should be avoided. He has the encouragement of seeing, amongst his companions, the various stages of benefit which are obtained under suitable conditions. The after-history returns show very well the high educational value of a stay in a sanatorium, and to what extent patients continue to live on the lines, which they have been taught. In only very few instances have patients recorded that they have ceased to practice any part of the sanatorium treatment. Almost invariably, the former patient states that he, or she, is following out the treatment, as far as possible. Open windows at night and all day when practicable, regular, and in many cases, better meals, regular exercise, and a more carefully regulated life generally; outdoor pursuits, such as gardening and walking being substituted for less healthy recreation, are features of sanatorium life which are commonly mentioned as being still observed. The object of submitting this report is to supply the Committee with sufficient information as to the advantage of Sanatorium treatment, and whether the Committee would be justified in recommending the Council to incur the necessary expense of retaining beds at a Sanatorium. The number of beds for the use of residents suggested to be retained at a Sanatorium or Sanatoria is 10. Is this number sufficient and what will be the expense to the ratepayers? As stated in a previous report, the number of deaths of consumption in the Borough of Stepney in 1909 was 521, or one-twelfth of the total number of deaths in the Metropolis. This is an increase of 31 over the number in 1908, although I have no doubt that the actual population is less. There are no means of giving the number of persons suffering from consumption in the Borough, but it is usual to obtain it approximately by multiplying the number of deaths with a certain factor. By doing this, it is estimated that 2,500 residents are suffering from consumption. About 800 of these are probably dealt with by Poor Law Authorities, leaving a balance of 1,700. At least 600 are probably in the incipient stage, and having regard to the facts mentioned above, as well as to the views of the principal Medical Officer to the Local Government Board, it is suggested, that an attempt should be made to deal with this class of patients. To deal comprehensively with them, 200 beds would probably be needed. The expense of maintaining such a number, is, of course, prohibitive. The only Metropolitan Boroughs which have adopted the plan of paying for beds at Sanatoria are:— Woolwich with 7 beds, Southwark with 6, Westminster with 4 and Bethnal Green with 6 beds. Woolwich Borough Council pays 28s. per week for each bed at the Maitland Sanatorium, when the bed is occupied, and 20s. a week when the bed in not occupied. The Boroughs of Westminster, Reading and Northampton are also maintaining beds at this Sanatorium. Southwark Borough Council pay £78 per annum per bed at the Benenden Sanatorium. 31 Bethnal Green Council pay £50 per annum at the Fairlight Sanatorium, Hasting but male patients only are admitted. It will therefore be seen that 10 beds will cost from £500 to £800 a year. I suggest that if this scheme is adopted, only the very early cases should be admitted, and the statistics then, probably, will prove of a more satisfactory nature, than those given above. The number of applicants for admission, will always be greatly in excess of the avilable accommodation, and it is obviously the best plan to make use of the beds for such cases only, which promise to be lastingly restored to capable health. There are two ways by which the Public Health Committee may become cognisant of these early cases. I have already suggested one, and the other method is by making the notification of Phthisis compulsory. As I have frequently stated, my opinion is that voluntary notification is comparatively futile. In 22 Metropolitan districts, the system has been adopted. Its weakness is apparent and admitted, but it is thought by these authorities that imperfect notification is better than no notification at all. Probably not more than 10 per cent. and certainly less than 15 per cent. of the cases are notified. These cases are invariably advanced cases, and quite unfit for sanatorium treatment. To sum up, I think we may reasonably expect that of the cases of consumption which are recognised sufficiently early, and commence sanatorium treatment, a large number may be cured and return to work in three months. I do not advocate that the sanatorium treatment should be at the expense of, and exclude the present administrative action in any way. Housing accommodation should be continually improved ; the conditions under which the patient lives should be considered ; the issue of printed general instructions as to the prevention of the spread of the disease and suggestions as to personal hygiene should be continued as well as occasional or periodical disinfection of premises, and on removal or death of the patient. Educating the general public by means of lectures on the prevention of consumption should also be encouraged. In conclusion, I must express my obligation to the Sanatorium Authorities for their annual reports, where I have gained statistical and other facts, especially those from Benenden, Maitland, Ventnor, Bournemouth, Torquay and Midhurst, as well as to Dr. Burton-Fanning, Physician to the Kelling Open-air Sanatorium and Dr. Squire, Physician to the Mount Vernon Hospital for Consumption and Diseases of the Chest, Hampstead and Northwood. D. L. THOMAS, Medical Officer of Health. Public Health Department, 43, White Horse Street, Commercial Road, E. 24th October, 1910. 32 The Report was submitted to the Finance Committee, which submitted the following Report to the Council:— We have had under consideration the following reference from the Public Health Committee upon a proposal that, under the powers contained in Section 75 of the Public Health (London) Act, 1891, the Council should, as an experiment, defray for a period of one year the cost of maintaining 10 beds in a sanatorium, or sanatoria, viz.:— Provision of Sanatorium Treatment for Consumptives. At the Meeting of the Council, held on the 15th June, 1910, we submitted the following Resolutions which were passed at the Conference of Representatives of the Corporation of the City of London and Metropolitan and City Borough Councils, viz. :— 1. That this Conference is of opinion that the provision of sanatoria for the educational and curative treatment of cases of tuberculosis is advisable. 2. (a) That in the opinion of this Conference it is desirable that a sanatorium should be established for the accommodation of persons of the working classes of the Metropolis suffering from tuberculosis, and that such institution should be maintained by a charge upon the several Metropolitan Boroughs in accordance with their respective rateable values. (b) That in the opinion of this Conference the proposed sanatorium should be under the direct control of the Metropolitan Asylums Board, and that such authority be asked to seek the necessary Parliamentary powers for that purpose, if necessary. (c) That copies of the above Resolutions be forwarded to the Metropolitan Asylums Board and to the Local Government Board. 3. That pending the provision of a sanatorium for the working classes it is desirable that each Municipal Authority should secure beds in some existing sanatorium according to the provisions of Section 75 of the Public Health (London) Act, 1891. 4. That in the opinion of this Conference the establishment of tuberculosis dispensaries in each of the Metropolitan Boroughs would be a desirable adjunct in the prevention and treatment of tuberculosis. 33 In submitting the above Resolutions to the Council, we pointed on that we were approaching the Metropolitan Asylums Board with a view to the use of their vacant Isolation Hospitals as sanatoria for consumptive patients and that we were also considering the question of taking action in the direction indicated in Resolution 3. The Council, upon our recommendation, expressed its agreement with the terms of the above Resolutions. We then approached the Metropolitan Asylums Board, but found that they had decided to use their vacant Isolation Hospitals for other purposes, and the matter dropped. Section 75 of the Public Health (London) Act, 1891, is as follows:— 75. (1) Any sanitary authority may provide for the use of the inhabitants of their district hospitals, temporary or permanent, and for that purpose may— (a) Themselves build such hospitals, or (b) Contract for the use of any hospital or part of a hospital, or (c) Enter into any agreement with any person having the ment of any hospital for the reception of the sick inhabitants of their district on payment of such annual or other sum as may be agreed on. (2) Two or more sanitary authorities may combine in providing a common hospital. We have for some considerable time past had the question of the provision of sanatoria treatment for consumptives under consideration, and upon our instructions the Medical Officer of Health prepared a report upon the matter, It will be observed in the report that the Medical Officer of Health estimates that the cost of maintaining 10 beds in a sanatorium, or sanatoria, will be from £500 to £800, and we are of opinion that the Council should, as an experiment maintain for a period of one year 10 beds in already established sanatoria, and we have instructed the Medical Officer of Health to make enquiries as to the exact terms upon which this scheme could be carried into effect. We therefore propose, subject to the approval of the Finance and Parliamentary Committee, to include in the next estimates the sum necessary to cover the expenditure to be incurred if the Council approves the proposal. We have authorised to be circulated to members, as a separate document, copy of a Report by the Medical Officer of Health upon the subject. c 34 The matter first came under our consideration when we were reviewing the estimates of expenditure and income for the year 1911-12 (inasmuch as the estimate of the Public Health Committee included a sum of £650 to cover the cost of the experiment for the year), but at that time we were not in a position fully to consider the financial aspect involved in the proposal, and we therefore amended the estimate of that Committee by transferring the amount to "Contingencies," increasing such item by an additional sum of £650, in order that when we had had an opportunity of further considering the matter we should be in a position, if satisfied with the financial aspect, to submit the necessary estimate to the Council. We deemed it necessary to proceed cautiously in the matter, having regard to the fact that the proposal of the Public Health Committee constitutes a quite new and additional feature of the Council's work, and notwithstanding that it was the intention of the Public Health Committee to try the treatment as an experiment' we felt that the Council, having once entered upon such an undertaking, it would be well nigh impossible for them, having regard to the nature of the disease and the lengthy treatment required in order to benefit most of its victims, to discontinue paying for the treatment, whilst in addition we felt the expenditure would eventually increase to such a sum as would inflict a heavy burden upon the ratepayers of the Borough. In this connexion, we considered as to whether treatment of such a disease as consumption was one which should be a charge upon the national exchequer or a central body, such, for instance, as the Metropolitan Asylums Board, or whether it should be borne by local sanitary authorities. If either the first or second course were adopted, the charge for such treatment would be more equitably borne, whilst if the last mentioned obtained, each sanitary authority would have to bear the whole of the charges for its particular area, and this would press more heavily upon some Boroughs than upon others. We may mention that we are advised there are some 2,500 cases of consumption in the Borough, and that we are therefore in sympathy with the object which the Public Health Committee have in view. At our meeting on the day of the date of this report we were favoured with the presence of the Chairman (Alderman Boustred) and Vice-Chairman (Councillor Evans) of the Public Health Committee, who very fully explained the views of that Committee to us. We gave the matter very lengthy consideration, and as the result, by a majority, we did not see our way to submit the necessary estimate to the Council as suggested by the Public Health Committee. Inasmuch as the proposal involves a crucial question of policy, we submit the matter to the Council for their decision. We may state that, in the event of the Council deciding that it is advisable to undertake the cost of maintenance of the sanatorium treatment of consumptives 35 as proposed, we should be prepared to submit the necessary estimate in that behalf, and the expenditure up to a sum of £650 can, as above indicated, be met out of the estimates for the ensuing year We recommend— That no action be taken in the matter. At the same Council meeting the Public Health Committee submitted the following Report, which was adopted:— We understand that the Finance and Parliamentary Committee are presenting a report to the Council upon our reference to them with regard to the provision of sanatorium treatment for consumptives. It will be observed from such reference that Section 75 of the Public Health (London) Act, 1891, gives the Council ample powers to adopt the course which we suggest, viz.:—To maintain a number of beds in existing sanatoria for the reception of consumptive patients selected from the inhabitants of the Borough. During the time this matter has been under our consideration we have had a number of pamphlets and reports presented to us, and the Medical Officer of Health, in a lengthy report has submitted statements showing the methods of treatment and the benefits derived by patients at sanatoria and giving other information on the subject. We think that the Council should make much more strenuous efforts to prevent the spread of consumption than they are at present doing, and, in our opinion, the provision of sanatorium treatment for inhabitants of the Borough is urgently required and the extension by the new regulations of the Local Government Board of the system of notifying cases of this disease (at present restricted to "Poor Law" cases) to cases treated at hospitals and dispensaries makes the desirability for such treatment even more apparent. We therefore propose that at a cost not exceeding £650 the Council should, as an experiment, maintain at existing sanatoria, a number of beds which should be occupied by persons finally selected by us under the advice of the Medical Officer of Health, and in this connection we would remind the Council that there is every prospect of a dispensary for the treatment of consumptives being established in this Borough as the result of the efforts which His Worship the Mayor is making in connection with the memorial to King Edward VII. and the patients could be selected from persons under treatment at the dispensary and thus render such an institution more valuable as a means of dealing with this disease, c 2 36 We should propose only to send patients to the sanatoria whom there is every prospect would be cured by the treatment, but it must be remembered that each consumptive person in the Borough is a source of infection to the healthy inhabitants and that even though a patient may not be cured by three months' residence in a sanatorium yet such patient is trained to habits which will minimise the risk of infection to other persons and to rules of life which may prevent the patient from becoming a burden upon his or her relatives or upon the rates for some years. We recommend— That, subject to the approval of the estimate by the Finance and Parliamentary Committee, the Council do authorise us as an experiment to maintain for a period of one year at a cost not exceeding £650 a number of beds in already established sanatoria for the treatment of consumptive inhabitants of the Borough, and that we be authorised to take the necessary steps to give effect to this Resolution. The Council, having adopted the recommendation of the Public Health Committee, it was resolved to leave the details of the scheme to that Committee. At the following meeting of the Public Health Committee it was decided to retain six beds for males at the Farlight Sanatorium, Hastings, and four beds for females at the Maitland Sanatorium. Infantile Mortality. 1,041 infants died under one year of age, which corresponds to a death-rate of 113 per 1,000 births. This number is 89 less than in the previous year and compares very favourably under all circumstances with that of London as a whole, which was 103 per 1,000 births. 247 belonged to the Limehouse District, or at the rate of 137 per 1,000 births. 224 belonged to the St. Georges-in-the-East, or at the rate of 120 per 1,000 births. 355 belonged to the Mile End Old Town, or at the rate of 100 per 1,000 births. 215 belonged to the Whitechapel District, or at the rate of 110 per 1,000 births. 37 Though the infantile mortality remains at a high figure, it shows a marked and continuous improvement, as is evident by the following table:— Limehouse District. St. George's. Mile End. Whitechapel District. The whole Borough. 1899 216 199 161 147 174 1900 227 141 166 140 166 1901 211 185 150 140 165 1902 197 160 163 117 155 1903 165 170 122 138 141 1904 208 161 145 143 158 1905 163 157 140 119 142 1906 168 141 126 123 136 1907 131 130 112 110 119 1908 171 141 117 108 130 1909 133 145 106 104 118 1910 137 120 100 110 . . 113 Deaths of Illegitimate Children. There were 61 deaths of illegitimate children under one year of age during the year, or at the rate of 326 per 1,000 illegitimate births. 12 belonged to the Limehouse District, or at the rate of 375 per 1,000 illegitimate births. 15 belonged to St. Georges-in-the-East, or at the rate of 500 per 1,000 illegitimate births. 17 belonged to Mile End Old Town, or at the rate of 283 per 1,000 illegitimate births. 17 belonged to Whitechapel District, or at the rate of 261 per 1,000 illegitimate births. Report on the work of the Health Visitor. A Health Visitor was appointed and she started on her work on February 1st, 1910, in a portion of the Borough where the infantile mortality has been abnormally high. The average rate of mortality among infants under one year of age to 1,000 registered births in England and Wales was 138 in the ten years 1899-1908. In 1909, it was reduced to 109, which is the lowest rate for any year on record, and is to be ascribed possibly to favourable weather conditions. 38 In the portion of the Borough where the Health Visitor is devoting her time, the infantile mortality was 198 per 1,000 births in 1910. Excluding the deaths of infants who died immediately after birth and before the Health Visitor made her first visit, the infantile mortality was 170 per 1,000 births. The infantile mortality figures for the years 1901-1910 for the area were as follows:— 1901 163 1902 126 1903 161 1904 212* 1905 145* 1906 178* 1907 142* 1908 190 1909 114 1910 198 * Miss Forrester was employed by a private individual to act as Health Visitor in the same area during the years 1904-1907 inclusive. The principal functions which the Health Visitor is called upon to perform are as follows:— (1) To advise expectant mothers on the management of their health, and as to the influence of ante-natal conditions on their infants. (2) To follow up the notification of births, and to visit the homes when the Doctor and Midwife have ceased to attend. (3) To note conditions of ignorant feeding or of non-supply of sufficient and nourishing food, and to take judicious steps to correct these evils. (4) To give advice on the proper feeding of infants; to warn mothers against premature weaning; to inculcate in particular the importance of breast feeding until the teeth appear; to see that foul or long-tubed feeding bottles, and "comforters" or dummy teats, are not used. When Miss Forrester was engaged in this area, she had great difficulty in preventing premature weaning. It is now quite the reverse. It is often found to be necessary to caution the mothers against prolonged suckling. In some instances it was found to be extended to two years, and 14 infants had not been weaned at the end of one year. 39 (5) To promote and encourage the practice of weighing infants regularly, and to instruct in, or remind mothers of, the simpler rules of hygiene in relation to the home and its inmates, and otherwise to assist in preventing the spread of such diseases as Measles, Whooping Cough, &c. It is curious what an objection some women have to weigh their babies. It is often their firm belief that if the baby is weighed, he will die before he is a year old. (6) To promote a knowledge of the value of fresh air, of keeping windows open at night, of cleanliness in the home, &c. (7) To note and report any insanitary or foul conditions in any of the homes visited. Remediable defects were found in 51 houses and were reported to the Sanitary Inspector besides a number of cases of overcrowding. (8) To visit and report on all cases in the Borough communicated by the Almoners of the London Hospital. (9) To keep a systematic record of all cases. Frequently during the course of her visits, the Health Visitor is asked to call and see women who are about to be confined. If the child is to survive and to be healthy, it goes without saying that the expectant mother should be in a healthy state. Many poor women are ill-fed or underfed, owing to no fault of theirs or their husbands. No one will deny that these women are just as much in need of free meals as ill-fed children attending elementary schools. The Stepney Invalid Kitchen has recently been established and supplies dinners to women after the child is born for one penny each on the recommendation of the Health Visitor. The diet for the invalid dinners is as follows (a) Beef tea, mutton or chicken broth. (b) Milk pudding or custard. (c) Boiled fish with sauce and potatoes. (d) Chicken with two vegetables. (e) Mutton or tripe, with Yorkshire pudding and two vegetables. The Health Visitor has found this institution of great benefit to poor women, but it is a pity that its benefits cannot be extended to those who are expecting to become mothers, and not only to those who have recently been confined. 40 The infant who survives, has been born, ordinarily, at or above full time, but a very large proportion of the infants who die early have been prematurely born. Premature birth is due to many causes which might be prevented, among others to the employment in factories, and otherwise, of women advanced in pregnancy. It is a frequent occurrence for the mother to work in a factory until the day before the child is born. The Notification of Births Act, 1907, was adopted in the Borough of Stepney in September, 1909. From this date until the end of December, 1909, 140 births were notified in the area specially selected for the Health Visitor. The parents of twenty of the infants had removed before the first visit was made was made by the Health Visitor, and nine of the infants had died. The remaining 111 infants were visited and kept under supervision until they attained one year of age. 94 of the infants were naturally fed, or 84.7 per cent. 6 of the infants were artificially fed, or 5.4 per cent. 11 of the infants were breast and bottle fed, or 9.4 per cent. 23 of the women were employed in factories and workshops, and 15 were engaged in tailoring, brushmaking, &c., as outworkers in their own homes. 43 infants were breast-fed entirely for three months, 35 were six months old before partial artificial feeding was resorted to. In 1910, 544 births were registered in the area visited by the Health Visitor. Of these 11 births occurred in Public Institutions outside the Borough, and were not visited. Of the remaining 533 births, 488 were notified under the Notification of Births Act, or 91.5 per cent. The notification certificates were sent by the Doctors or Midwives in attendance. A large number of the cases were attended by midwives from the Mothers' Lying-in-Home, Commercial Road. 30 births registered by the Registrar were said to be unknown at the address given. In several instances, incorrect addresses were probably given for the purpose of evading vaccination. 15 of the infants had died before the first visit was made, leaving 488 births where advice was given and particulars were obtained as to feeding, &c. 2,728 visits were made. Of these, 673 were first visits, 49 were visits in other parts of the Borough at the request of the Almoners of the London Hospital, and 2,006 were revisits. 41 130 of the mothers worked in factories, workshops. &c., and 80 were employed as outworkers in their own homes. 413 infants were brought up on the breast, or 84.7 per cent. 32 infants were artificially fed, or 6.5 per cent. 43 infants were partly brought up on the breast and partly artificially fed, or 8.8 per cent. Breast feeding was generally the case for the first three or four months, after which it was often found necessary to supplement the breast with an artificial food of some kind. Condensed milk was largely used for infants who were entirely artificially fed Inferior brands were often bought because of their cheapness, regardless of the fact that the milk was machine skimmed, and contained no fat, which is so essential to a baby. When the breast milk is deficient in quality or insufficient in quantity, and it becomes necessary to have it supplemented, cow's milk is rarely given for that purpose. It seems to be believed by a large number of women that the two kinds of milk will not agree with the baby. Flour, cornflour, and fine oatmeal are frequently given. One baby, 14 days old, was given two feeds daily of cornflour mixed with water, and another baby, 12 days old, was having fine oatmeal, on the advice of its grandmother, who insisted that the child cried so much because he was hungry. This was the young mother's first baby, and she had taken her own mother's advice, as she was quite ignorant of infant feeding. Dinners were obtained for her from the Stepney Invalid Kitchen on her promising to discontinue the oatmeal for the baby. It soon became unnecessary to give the bottle at all, as the breast milk was found to be sufficient. The mothers were often found to be very ignorant as to what constitutes a suitable diet for babies and young children, and tea, bread soaked in tea, meat, fish, vegetables of all kinds were frequerftly given to infants under one year. 62 births referred to first-born children. As a rule these mothers knew less of infant feeding than the others, but were found to be very amenable to instructions and eager to learn ; whereas mothers who had several children were not so anxiou, to receive advice. The infants were fairly well cared for, being usually bathed once daily at first, but this duty was found to be neglected as the child grew older, especially if the mother had to go out to work to support the home. 42 The baby's clothing was frequently unsatisfactory, being neither suitable nor sufficiently warm. Flannelette was found to be used oftener than flannel, short sleeves tied to the shoulders were more often seen than those reaching to the wrists. Garments with long sleeves were advised, with success in some cases. Bronchitis, Pneumonia, and bad colds were common. This can hardly be wondered at considering how careless some mothers were, often leaving a hot stuffy room and standing at the street door on the very coldest of days without first having protected the child with a shawl or other extra garment. It was found to be very difficult to persuade the mothers to use a separate cot for the baby. Two infants who were on the Health Visitor's visiting list were suffocated while in bed with the parents. Very few cases of wilful neglect were found, but two of the worst cases were referred to the Society for the Prevention of Cruelty to Children. 130 of the mothers were employed in factories, workshops, in the fish curing industry and as office cleaners. 80 were employed at home as outworkers in the tailoring, brushmaking and cardbox-making trades. 25 kept small shops. Some of the mothers understand very little about cooking, and have no idea as to what constitutes a nutritive diet for young children. Very little trouble is taken to prepare a dinner, "fried fish and chips" seems to be very popular, and enough money is spent on this that would purchase materials for a far more nourishing and digestible meal. 70 of the children died suddenly, which resulted in inquests being held: 25 deaths were due to Pneumonia, Bronchitis and Convulsions; 12 to Diarrhoea; 11 to Marasmus; 2 being due to want of attention at birth, and 18 were premature births, &c. 8 cases were referred to the Charity Organisation Society, but the Society does not assist the families of persons who are unemployed unless they have immediate prospects of work. It will assist to keep the family while the bread winner is in the hospital. (1) A consumptive patient was admitted an in-patient to the Victoria Park Chest Hospital, and his family was maintained by the C.O.S. during his absence from home. 43 (2) A woman, recently confined, was sent to the London Hospital. The C.O.S. paid the cab fare and supplied food to the family. (3) Convalescent treatment was applied for on behalf of a delicate mother with the first baby. This was granted but the mother refused to avail herself of it on account of the illness of her baby. (4) In one case, the father was out of work and the baby had died from Pneumonia before the Health Visitor made her first visit. Nine children out of 14 had previously died. At the time of the visit, two children aged 5 and 3 were suffering from Whooping Cough, and were in need of nourishment. No assistance was given. (5) In another instance, where the father was out of work and the mother was very delicate, assistance was refused. The baby was wasting and four children out of a family of seven had died. (6) Assistance was also refused where the mother was consumptive and the baby wasting. (7) The home had been sold to get food, and on March 7th, when the Health Visitor called, the family was without fire and food. The baby had not been washed as there was no fire to boil the water. The baby was in a fairly good condition. No assistance was given. (8) The baby had died before the Health Visitor called, and three children out of a family of four had died before they were a year old. The case was reported to the C.O.S., but the mother objected to answer the questions of the officer of the C.O.S., and made quite a different statement to what she had made to the Health Visitor. No assistance was given. 12 cases were referred to the Stepney Mothers and Babies' Welcome, 5 were granted free dinners and 7 were not assisted. The husbands were unemployed in every instance, the mothers were poorly nourished and the babies were suffering from Marasmus or wasting. (1) The baby weighed 64 lb. only when he was a month old. Free dinners were granted to the mother. She partook of one only and then stayed away. Shortly afterwards she resumed work. (2) The mother resumed work on the third day after her confinement. She had previously lost three children from wasting. She was granted free dinners for two months, and then left the neighbourhood. (3) One woman went once to the Mother's Welcome, and then stayed away Three of her children had died from wasting. 44 (4) Baby when he was three months old, weighed 7 lb. 13 oz. The mother was given a dinner daily but the baby died 12 days later. (5) The mother stated that she almost starved since she ceased work three months previous to the birth of the baby. This was the second child and he died in three weeks, the first child having lived 6 hours only. Dinners were obtained from the Edinburgh Castle for one mother for 6 weeks. Other cases were referred to the Relieving Officer, but in most cases the Health Visitor was informed that they preferred to starve rather than apply to the Relieving Officer. Old Age. 216 deaths were attributed to Old Age. This corresponds to a death rate of .68 per 1,000. 51 belonged to the Limehouse District, or at the rate of .85 per 1.000. 17 belonged to the St. Georges-in-the-East, or at the rate of .31 per 1,000. 111 belonged to the Mile End Old Town, or at the rate of .91 per 1,000. 37 belonged to the Whitechapel District, or at the rate of .45 per 1,000. Table showing the ages of persons who died over 65 years of age and the localities:— Limehouse. St. Georges. Mile End. Whitechapel. Total Between 65 and 70 years of age 54 42 82 77 255 70 ., 75 42 36 89 55 222 75 „ SO 32 25 77 35 169 ,, 80 ,, 85 ,, 28 13 54 24 119 85 „ 90 11 9 29 7. 56 Over 90 years of age 4 2 8 4 18 171 127 339 202 839 The deaths of persons over 65 years of age occurred as follows:— At their own homes. In Lunatic Asylums. In other Institutions. Total. Limehouse District 71 9 91 171 St. Georges 48 4 75 127 Mile End 169 30 140 339 Whitechapel District 90 15 97 202 45 Alcoholism. The number of deaths due to Alcoholism and Cirrhosis of the I.iver was 30, or 22 less than in the previous year. 7 belonged to Ihe Limehouse District, or at the rate of .11 per 1,000. G belonged to St. Georges-in-the-East, or at the rate of .11 per 1,000. 11 belonged to Mile End Old Town, or at the rate of .09 per 1,000. 6 belonged to the Whitechapel District, or at the rate of .07 per 1,000. The death rate throughout the whole Borough was .09 per 1,000 of the population. As I have mentioned in previous reports, the death rate from Alcoholism is gradually and steadily declining in the Borough, as is shown in the following table:— In 1901 the death rate was .33 per 1,000 of the population. „ 1902 „ .33 „ 1,000 „ 1903 ,, .25 ., 1,000 „ 1904 „ .31 „ 1,000 „ 1905 „ .21 „ 1,000 „ 1906 „ .23 „ 1,000 „ 1907 ,, .15 „ 1,000 „ 1908 „ .15 „ 1,000 „ 1909 „ .16 „ 1,000 „ 1910 „ .09 „ 1,000 Cancer. The deaths due to Cancer were 228, or 26 more than in the previous year. This corresponds to a death rate of .72 per 1,000. 54 belonged to the Limehouse District, or at the rate of .90 per 1,000. 35 belonged to St. Georges-in-the-East, or at the rate of .04 per 1,000. 80 belonged to Mile End Old Town, or at the rate, of .66 per 1,000. 59 belonged to the Whitechapel District, or at the rate of .71 per 1,000. Deaths of the Homeless and of Inmates of Common Lodging; Houses. During the year, there occurred in lunatic asylums the deaths of 74 persons stated to have been removed into such institutions from this district, but for whom no definite addresses could be given when the deaths were reported to the Registrars. Twelve of these were stated to have been removed from the Limehouse district. 6 from St. George-in-the-East, 22 from Mile End Old Town, and 34 from the Whitechapel district. 46 There were 170 deaths in public institutions of persons admitted from common lodging houses in the Borough. Thirty-five per cent. of these deaths were attributed to consumption and nearly 10 per cent. were due to cancer. As the Borough possesses a river fiontage of 2½ miles, a number of unknown persons are found drowned on the foreshore. These deaths are included in the death statistics for the districts in which the bodies are discovered. The bodies of 6 unknown persons were found and were included in the Limehouse returns, together with those of 7 unknown persons who died in the Poplar and Stepney Sick Asylum, and 3 in the Stepney Workhouse. Six children with unknown addresses died at the Carshalton Infirmary; 3 were stated to have been removed from Limehouse, 1 from St. George's, and 2 from Mile End. In the St. George's returns are included the deaths of 3 persons with unknown addresses who died in the St. George's Infirmary. In the Mile End returns are included 6 deaths of persons who died under similar conditions in Mile End Infirmary. In the Whitechapel returns there are included 72 deaths of persons with unknown addresses, 67 of which occurred in the Whitechapel Infirmary and Workhouse, 5 in the London Hospital, and 1 in the street. Verminous Persons. 1,520 persons were cleansed during the year, and their clothing disinfected. Of these, 1,268 were adults—1.266 males and 2 females—252 children were cleansed, all of school ages—207 being boys and 45 girls. Most, if not all the adults, were inmates of Medland Hall. As the latter is a free shelter, and men come from all parts of London to sleep there, it will be seen that persons who are cleansed at our Disinfecting Station are not necessarily ratepayers or residents. This privilege is being taken advantage of to a greater extent from year to year. In 1906 30 persons were cleansed. In 1907 22 persons were cleansed. In 1908 173 persons were cleansed. In 1909 883 persons were cleansed. In 1910 1,520 persons were cleansed. Only one bath is available, and the advisability of enlarging the baths became a subject of discussion on several occasions by the Public Health Committee during 47 the year. It was felt that as this became necessary on account of Medland Hall and other lodging houses, as well as to an increasing number of schoolchildren, the London County Council should contribute towards the cost either by paying a certain amount for every bath, or to give land for the purpose of erecting new baths. The Education Committee was prepared to pay for the School Children, but the Public Health Committee was not prepared to pay towards the cost of bathing inmates of common lodging houses. In order to fully understand the present position, it may be as well to give a short resume of the Acts of Parliament referring to the cleansing of verminous persons, and of the correspondence with the London County Council. The Cleansing of Persons Act, 1897, empowered Local Authorities to expend any reasonable sum on buildings, appliances and attendants for the purpose of the proper cleansing of persons infested with vermin. The Local Authority had the power to permit such person to have the use free of charge of the apparatus which the authority possesses, for cleansing the person and his clothing from vermin. The London County Council (Genera! Powers) Act, 1904, empowered the Local Authorities to cleanse, purify, or destroy articles which the Medical Officer of Health certifies are filthy, dangerous or unwholesome. On the certificate of the Medical Officer of Health that any house or part of a house is infested with vermin, the owners may be compelled to stiip, cleanse rooms, houses, or part of such houses that are so infested. Section 21 of this Act applies Section 59 of the Public Health (London) Act, 1891, compelling sanitary authorities to provide means for cleansing, purifying and destroying filthy, dangerous or unwholesome articles. Under the London County Council (General Powers) Act, 1907, the following powers have been conferred on the County Council:— (1) The Medical Officer or his representative may, in any school within the County, provided or maintained by the Council as the Education Authority, examine the person and clothing of any child attending such school, and if on examination, he is of opinion that the person or clothing is infested with vermin, or is in a foul or dirty condition, the Medical Officcr may give notice in writing to the parent or guardian requiring him to cleanse properly the person and clothing of such child within 24 hours after the receipt of such notice. (2) If on the receipt of the notice he fails to comply therewith within the prescribed time, the Medical Officer or his representative may remove the child from school to suitable premises and detain him until such cleansing is effected. Section 37 enables the Medical Officer of the County Council to enforce the cleansing of the person and clothing of the inmates of common lodging houses. 48 Section 38 gives power to the County Council to make arrangements with Sanitary Authorities and carry into effect agreements for the purpose of cleansing of the person and clothing of the above mentioned cases. Following upon these provisions it was resolved by the London County Council in February, 1908. that:— (a) The provisions of the Act of 1907 with respect to verminous inmates of common lodging-houses should be carried out by the Public Health Committee' and that they should have power to enter into agreements or arrangements; and (b) that the provisions with respect to verminous children attending schools should be exercised by the Education Committee, and that regulations affecting such children should be made by such Committee; but (c) that arrangements with sanitary authorities should be made through one Committee, namely—the Public Health Committee. The Children Act, 1908, reproduces the clauses in the General Powers Act, 1907, with respect to the examination of children attending school, giving notice to cleanse the person and clothing of any verminous child. After the person or clothing of a child has been cleansed by a local education authority under the Children Act, if the parent or guardian allows him to get into such a condition that it is again necessary to proceed under this section, the parent or guardian shall on summary conviction, be liable to a fine not exceeding 10s. Where the sanitary authority within the district of a local authority have provided, or are entitled to the use of any premises or appliances for cleansing the person or clothing of persons infested with vermin, the Sanitary Authority shall, if so required by the local Education Authority, allow the Local Education Authority to use such premises and appliances for the purpose of this section upon such payment (if any) as may be agreed between them, or, in default of an agreement, settled by the Local Government Board. In July, 1909, as a result of correspondence between the Borough Council and the London County Council, a letter was received from the Clerk of the Council stating that the County Council was not prepared to contribute towards the capital expenses incurred in the extenson of the cleansing station; but (hat it would be prepared to consider as to making a capitation grant for the cleansing of school children and common lodging-house inmates dealt with under the Children Act, 1908, and the London County Council (General Powers) Act, 1907. In March, 1910, the Clerk to the County Council wrote to inquire: (1) whether the Borough Council would be prepared to cleanse any persons from Common Lodging-houses in the Borough, if sent by the Council and (2) whether, in the event 49 of the Council of neighbouring Boroughs not having made proper provisions, the Stepney Council would be prepared to enter into an arrangement for the cleansing of inmates from lodging-houses in that neighbouring borough, if sent by the Council, and if so, what arrangements the Borough Council would suggest. To this letter, the Town Clerk, at the request of (he Public Health Committee replied that the Public Health Committee would be prepared to recommend the Borough Council to deal with this matter if satisfactory terms can be arranged. The Committee called the attention of the County Council to the vacant site belonging to the Council, which adjoins our disinfecting station and that it appeared to the Public Health Committee the best method of dealing with this matter would be by erection of a properly equipped cleansing station on that site. The Committee reminded the County Council that there is only one bath available for verminous persons and that this bath is situate in a building which was provided for the reception of "contacts" with infectious diseases. In the case of a severe epidemic, it might be necessary, if all the other premises provided by the Council are occupied, to use the building for its original purpose, when, of course, the bath would not be available for verminous persons. After further correspondence, a communication was received in May, 1910, from the Education Offices of the London County Council, stating that the Committee had provisionally agreed upon the general outline of the following scheme for the treatment of children throughout London:— (1) That the cleansing station provided by the various Metropolitan Borough Councils should, as far as possible, be utilised by agreement with the Borough Councils. (2) That the treatment of children should be entirely distinct from any establishment used for the isolation of suspected cases of infectious disease contacts. (3) That the exclusive use of the baths for the cleansing of children should be allowed on certain days. (4) That the cleansing station should be in a convenient position and that the children should be efficiently supervised with female attendants for the treatment of the girls. (5) That a uniform payment to the Borough Councils at the rate of 2s. per child, irrespective of the number of baths required before a child can be regarded as cleansed, should be arranged throughout London. D 50 (6) That this scheme be subject to the Borough Councils undertaking where necessary, to deal with the homes of the children cleansed. As the above communication made no reference to the treatment of adults, a letter was addressed to the Clerk of the County Council, with regard to the latter, but up to the present time no satisfactory arrangements have been made with respect to the cleansing of verminous persons from common lodging-houses, &c. Glanders. Under the London (Notification of Glanders) Order, 1907, the Veterinary Inspector of the London County Council reported, in accordance with the provision of that Act, the existence of Glanders in fourteen stables in the Borough, in which 16 horses contracted the disease, or 69 less than in the previous year. Anthrax. One horse was reported to have suffered from Anthrax. The stables were immediately disinfected, and no second case occurred. Articles of Bedding Destroyed at Request of Owners. Mattresses 30 Pillows 14 Palliasses 17 Cushions 10 Beds 13 Carpet 1 Bolsters 9 Sundries 95 Mortuary and Coroner's Court. The number of bodies deposited in the Mortuary during the year was 629. Of these 585 were removed by the Coroner, 33 by the Police, 3 by Relieving Officers. 6 at the request of friends, and 2 by order of the Medical Officer of Health. 618 Inquests were held and 115 Post Mortems were made; 3 bodies were those who had died from Infectious Disease. 87 bodies were deposited in the Jewish part of the Mortuary. 51 ARTICLES DISINFECTED DURING 1910. ARTICLES DISINFECTED. January. February. March. Apii1. May. June. July. August. September. October. November. December. TOTALS. Beds 108 120 119 126 136 181 141 140 154 162 183 175 1,745 Mattresses 79 86 80 81 137 79 91 112 127 99 102 90 1,163 Palliasses 55 49 51 62 64 57 86 103 71 125 128 106 957 Bolsters 62 58 54 64 67 59 84 90 72 85 76 79 856 Pillows 162 303 274 303 305 323 343 305 309 405 482 379 3,893 Sheets 99 120 99 141 149 170 166 183 173 185 155 177 1,817 Quilts 98 112 98 102 108 115 126 140 138 153 130 101 1,481 Blankets 146 118 97 149 127 111 116 152 190 220 225 206 1,857 Vests 28 31 73 24 21 30 25 29 86 21 34 30 432 Trousers 35 32 80 42 45 41 39 27 82 83 28 42 576 Cushions 46 37 45 53 51 59 76 72 74 43 45 43 644 Coats 46 51 103 61 42 41 134 43 153 97 31 49 851 Sundries 426 495 520 455 432 662 590 1,376 1,518 1,043 1,302 1,557 10,376 TOTALS 1,390 1,612 1,693 1,663 1,684 1,928 2,017 2,978 3,147 2,721 2,921 3,094 26,648 Articles of Clothing in a Verminous Condition 15,797 Total for Year 42,445 d 2 52 Canal Boats Acts 1877 and 1884. Pursuant to the Third Section of the Canal Boats Act 188-1, I have to report with regard to the execution of the above Acts and of the Regulations made thereunder, and as to the steps taken during the year to give effect to the provisions of the said Acts and Regulations, viz.:— 1. Canal Boats coining within the district are inspected by a Sanitary Inspector, who receives a sum of £10 per annum for the performance of this duty. His inspection is irrespective of the examination of Boats made by the Examining Officer prior to their registration. 2. The number of Boats inspected in 1910 was 63, and the condition of the Boats and their occupants, as regards the matters dealt with in the Acts and Regulations was very good. 3. Infringements of Acts and Regulations were discovered as follows:— (a) Registration—Nil. (b) Notification of change of Master—Nil. (c) Certificates—One. (d) Marking—One. (e) Overcrowding—Nil. (f) Separation of Sexes—Nil. (g) Cleanliness—Nil. (h) Ventilation—Nil. (i) Painting—One. (j) Provision of Water Cask—Nil. (k) Removal of Bilge Water—Nil. (1) Notification of Infectious Disease—Nil. (m) Admittance of Inspector—Nil. 4. No legal proceedings were taken. 5. In the case of infringements, notices were sent to the owners of the Boats requiring them to remedy the cause of complaint and to forward to this Borough within a specified period a certificate signed by some duly appointed Inspector of Canal Boats that the same had been duly done. Such certificates were afterwards received. 6. No case of Infectious Disease occurred. 7. No Boats were detained for Cleansing and Disinfection. 8. The total number of Boats on the Register on the 31st December, 1910:— (a) Number of Boats believed to be in use or available was 13. (b) Number of Boats that cannot be traced 5. 9. No Boats were Registered in 1910. 53 DAIRIES, COWSHEDS, AND MILKSHOPS ORDERS. At the end of the year there were in the Borough 1,136 registered premises where milk is sold, which included 34 cowsheds. Nine premises were removed from the register, due to their unsuitability, and 71 were refused registration for a similar reason. 135 premises were registered conditionally, but they were mostly transfers. Each shop was considered on its merits and certain conditions were imposed before it was registered. The conditions for every new registration generally included that— (1) The shop, milk receptacles and utensils must be kept scrupulously clean. The milk must also be kept in a cleanly condition. (2) The milk must be covered by a proper ventilated cover ; paper, muslin, or a plain board is not allowed. (3) Boxes of minerals, or other boxes, sacks, bags, &c., must not be allowed to remain on the floor, but raised on shelves at least a foot from the floor. This allows the floor to be swept, otherwise it would only be swept when the sacks or boxes became empty and dirt would accumulate under and behind them. (4) The shop floor must be swept and scrubbed frequently. (5) The shelves must be kept free from dust. (6) No paraffin, coal, coke, or vegetables, are to be sold. Police Court Proceedings under the London County Council (General Powers) Act, 1908, and Dairies, Cowsheds and Milkshops Orders. On April 7th Mr Davis Temple, 10, Little Pearl Street, Spitalfields, was summoned for selling milk without being registered. He was fined £2, with 23s. costs. On April 21st, Mr. Isaac Simblist, 60, West India Dock Road, was summoned for selling milk without being on the register. He was fined £2, with 23s. costs. On July 12th Mr. Morris Brusk, 64, Wentworth Street, was summoned for selling milk without being registered. He was fined 2s. On July 14th Mr. Reuben Frankell, 117, Old Montague Street, was summoned for selling milk without being registered. He was fined 40s., with 23s. costs. 54 Police Court Proceedings under the Dairies, Cowsheds and Milkshops Orders. On January 31st Mr. Alec Marmont, 15. Antcliff Street, was summoned for not having his milk utensils in a cleanly condition. He was fined 20s., with 23s. costs. On June 21st Mr. Harris Dywein, 267, Commercial Road, was summoned for having his milk utensils in a dirty condition. He was fined 40s., with 12s. 6d. costs. On June 21st Mr. Ephriam Leboysky, 1, Nelson Street, was summoned for having his milk utensils in a dirty condition. He was fined 40s., with 12s. 6d. costs. On June 21st Mr. Davis Teperofski, 66, Oxford Street, was summoned for having his milk utensils in a dirty condition. He was fined 20s., with 12s. 6d. costs. On June 21st Mrs. Sarah Miller, 88, Burdett Road, was summoned for not keeping her milk utensils in a cleanly condition. She was fined 40s., with 23s. costs. On June 21st Mr. Phillip Sofier, 68, Oxford Street, was summoned for having his milk utensils in a dirty condition. He was fined 10s., with 12s. 6d. costs. On July 12th Mr. Marks Jacobs, 4, Turner Street, was summoned for not keeping his milk utensils in a cleanly condition. He was fined 30s., with 12s. 6d. costs. On July 12th Mr. David Berman, 1, Little Turner Street, was summoned for not keeping his milk utensils in a cleanly condition. He was fined 20s., with 12s. 6d. costs. On July 12th Mr. Soloman Gordon, 29, Frostic Mansions, Old Montague Street, was summoned for not keeping his milk utensils in a cleanly condition. The summons was not served, as he had absconded. On August 29th Mr. Soloman Richman, 15, Anthony Street, was summoned for not having his milk utensils in a cleanly condition. He was fined 12s., with 23s. costs. On October 11th Mr. Morris Cohen, 45, Oxford Street, was summoned for having his nilk utensils in a dirty condition. He was fined 10s., with 23s. costs. On October 11th Mr. Hyman Still, 26, Lindley Street, was summoned for having his nilk utensils in a dirty condition. He was fined 10s., with 23s. costs. 55 Unsound Food Destroyed During the Year. 1. At the Wharves. Tons. Cwts .Qrs Lbs. Fresh Meat 54 Pigs Carcases 1 17 3 5 2 Sheeps Livers - - - 5 Preserved Meats 34,280 Tins of Beef 89 13 2 14 1,639 „ „ Tongues 2 18 2 18 453 „ „ Rabbits - 7 0 22 291 „ „ Mutton - 14 0 3 150 „ „ Partridges - - 2 12 84 Hams - 4 2 13 Fresh Fruits and Vegetables 5,194 Crates of Bananas 144 13 2 0 37 „ „ Oranges 1 6 0 0 29 „ „ Lemons 1 9 0 7 16 „ „ Kaquis - 15 0 0 7 „ „ Tomatoes - 4 0 0 Dried Fruits and Nuts 53 Boxes of Dates - - - - 29 „ „ Raisins 1 12 3 15 23 „ „ Currants - - - - 828 Bags of Ground Nuts 53 12 2 0 Preserved Fruits and Vegetables 31,038 Tins of Pineapples 27 5 2 20 4,812 „ „ Peas 5 0 2 18 2,586 „ ,, Fruit Pulp 10 14 2 7 2,219 „ „ Tomatoes 3 5 2 7 17,424 „ „ Assorted Fruits 18 11 2 15 327 „ „ Sugar Corn - 6 0 0 912 „ „ Apricots 2 0 2 15 76 „ „ Peaches - 1 2 22 173 „ ,, Pears - 4 2 15 Preserved Fish 6,371 „ „ Salmon 3 13 0 26 2,109 „ „ Sardines - 18 3 24 265 „ „ Crayfish - 1 2 22 172 „ „ Lobsters - 1 2 0 Sundries 102 Tins of Soup - 1 1 0 86 Bags of Coffee 6 19 0 0 1,025 Tins of Condensed Milk - 3 2 12 Full Total 379 9 2 22 56 2. Diseased Meat and Offal destroyed from the Slaughter-houses and Offal-shops under the supervision of Mr. H. Abson, the Food Inspector: — Tons. Cwts Qrs. Lbs. 6 Pigs Carcases — 4 2 23 2 Bodies of Cow Beef — 9 1 14 2 Forequarters of Veal — — 2 9 174 Sets of Bullocks Lungs — 15 3 17 49 Bullocks Heads — 12 2 11 29 Bullocks Livers — 3 0 27 1 Set of Bullocks Tripes and Intestines — — 3 4 2 Cows Udders — — — 20 4 Cows Feet — — 1 0 2 Cows Kidneys — — — 4 2 Bullocks Hearts — — — 10 2 Bullocks Spleens — — — 6 2 Bullocks Tongues — — — 6 68 Sets of Sheeps Lungs — — 2 24 84 Sheeps Livers — 1 2 23 3 Sheeps Spleens — — — ¾ 1 Sheeps Heart — — — 1¼ 2 Calves Livers — — — 9 1 Calves Spleen — — — 2 Total 2 9 0 15 3. Unsound Food seized or surrendered to the District Sanitary Inspectors:— Tons. Cwts. Ors. Lbs. Apples, 25 Packages — 12 3 0 Bananas, 2 Packages — — 2 20 Carrots 2 10 0 0 Cherries, 136 Packages — 16 0 0 Cauliflowers, 6 Packages — 3 0 0 Confectionery — — — 12 Eggs, 141 — — — 14 ,, Liquid, 11 pints — — — 13 Fish, 48 Packages 1 10 3 13 Fowls, 17 — — 2 0 Gooseberries, 28 Packages — 2 0 0 Grapes, 48 Packages 1 1 3 0 Pears, 156 Packages 1 18 2 0 Pickled Cabbage 2 0 0 0 Potatoes, 86 Packages 3 18 0 3 Prunes, 100 Packages — 18 0 0 Rabbits, 16 — — 1 2 Tomatoes, 214 Packages 1 16 1 14 Total 19 10 2 8 57 Police Court Proceedings for Selling Unsound Food. About (he end of 1909, it was found that quantities of meat were coming into the Aldgate Market for sale on commission from the rural districts of Essex, where there was practically no meat inspection carried out; it was also found that meat was being sent up by persons who were only licensed as knackers, for the killing of animals which were not intended for human food. The following prosecutions were instituted during the year for moat sent into Aldgate Market. On February 1st. Mr. Robert Gower, 2, High Street, Whitechapel, was, at the Thames Police Court, fined £10 and £3 3s. costs for exposing for sale the carcases of two pigs which were tuberculous. On February 10th. Mr. Consort Leopold Wright, of Great Leighs, Chelmsford, was, at the Thames Police Court, fined £20 and £5 5s. costs for depositing for sale at 2, High Street, Whitechapel, the carcase of a pig which was tuberculous. On February 10th. Mr. James John Nash, 16, Crossing Road, Braintree, Essex, was, at the Thames Police Court, fined £20 and £5 5s. costs for depositing for sale at 2, High Street, Whitechapel, the carcase of a pig which was tuberculous. On July 11th. Mr. Joseph Snow, of the "Six Bells" Inn, Great Waltham, Chelmsford, was, at the Thames Police Court, fined £10 and £3 3s. costs for dpositing for sale at 2, High Street, Whitechapel, the carcases of two pigs which were tuberculous. On December 29th Mr. George Owers, knacker, of the " Wheatsheaf," Hatfield Peverel, Essex, was, at the Thames Police Court, fined £59 and £10 10s. co:ts for depositing for sale at 2, High Street, Whitechapel, the carcase of a cow which was tuberculous On December 29th. Mr. William Steel, slaughterman, of Hatfield Peverel, Essex, was, at the Thames Police Court, fined £10 and £5 5s costs, or 14 days' impiisonment, for aiding and abetting the above offence, having dressed the carcase and endeavoured to remove evidence of the disease by stripping the pleura. The following Police Court proceedings were also taken for unsound food:— On April 22nd. Mr. Jacob Samuels, 221. Mile End Road, was fined £20 with £2 2s. costs, for exposing for sale, herrings which were unfit for human food. On June 3rd. Mr. Hyman Podbelowitz, 2, John's Place, was summoned for slaughteiing cattle on unlicensed premises at 52, Varden Street, and also for depositing for sale, veal which was diseased, unwhol some and unfit for the food of man. He was sentenced to six weeks' imprisonment with hard labour. 58 On November 7th. Mr. Goodman Wirbitsky, 115, Jubilee Street, was fined £40 and £2 4s. costs for having, in his bakehouse, a quantity of unsound eggs in the course of preparation for sale as human food. On November 7th. Mrs. Naomi Hyman, 18, Copley Street, was fined £20 with £2 4s. costs, for having deposited on her premises a quantity of unsound eggs in the course of preparation for human food. On November 7th. Mr. Abraham Golietky 135, Jubilee Street, was fined £20 with £2 4s. costs, for having in his bakehouse a quantity of unsound eggs in the course of preparation for sale as human food. Total weights of unsound food destroyed during the last five years :— Tons. Cwts. Qrs. Lbs. 1906 209 18 3 10 1907 368 3 1 20 1908 369 16 2 26 1909 358 3 2 5 1910 401 9 1 17 Inhabited House Duty. During the year 44 applications were received for certificates under the Inland Revenue Act, 1903 for the purpose of securing exemption from inhabited house duty. Certificates were granted for 86 tenements, and refused for 112 tenements. 26 applications were also received with regard to lodging houses, in accordance with the provisions of the Housing, Town Planning &c., Act, 190!). Certificates were granted in each case. General Sanitary Work. In the Sanitary Inspectors' Report table will be found the amount of work carried out by each Inspector during the year, together with its nature. 33,344 houses were inspected, 8,075 being the result of house to house visitation. 13 532 intimation notices were served for the abatement of various nuisances, for which it was necessary to serve 6,905 statutory notices before the defects were remedied. SANITARY INSPECTORS' REPORT. Twaits. Johnson. Wrack. Cook. Pavitt. Crook. Mills. Shepherd. White. Flint. Simpson. Quaintrell. Stiles. Dee. Waterman. Harris. Bottom ley. Totals. Number of Inspections— House to house 495 458 369 640 475 338 548 589 442 587 631 609 746 585 563 .. .. 8075 Miscellaneous 1614 1294 1264 1237 1178 1583 1898 1490 1326 828 1230 1695 1203 1476 1632 .. 24 20972 Complaints 96 113 131 272 166 187 246 166 116 118 39 100 175 84 124 143 22 2298 Infectious diseases 155 77 69 55 84 135 111 114 76 79 88 123 85 62 111 .. .. 1424 Visits to Cases of Consumption 30 37 33 38 26 30 44 40 34 47 28 38 80 35 35 .. .. 575 Intimations served 836 694 539 805 860 771 1390 841 633 666 932 639 939 603 687 783 1014 13632 Statutory notices served 629 564 72 212 607 940 828 208 344 537 731 445 381 152 166 53 36 6905 Houses re-visited 5589 5322 4518 3771 5668 3710 3829 3662 3562 3523 5270 3288 4529 2996 4619 3386 4827 72069 Summonses taken out under the Public Health (London) Act, 1891 1 .. .. 1 10 5 7 .. 2 3 5 2 5 .. 4 .. .. 45 Samples taken under the Food & Drugs Acts .. 100 79 110 72 100 100 77 72 72 74 110 72 72 43 72 .. .. 1225 Summonses „ „ „ „ 9 3 10 3 13 12 4 3 1 3 10 .. 7 1 2 .. .. 81 Houses or parts of houses cleansed 145 317 130 325 99 170 355 259 290 111 265 160 207 238 202 293 349 3915 Water supply to houses re-instated 11 11 5 11 12 1 9 5 20 32 13 10 10 15 13 .. .. 178 Drains constructed and reconstructed 259 42 66 44 168 78 20 14 29 43 134 42 85 46 86 .. .. 1156 „ cleansed and repaired 59 113 122 62 126 88 53 71 48 37 127 85 129 56 98 28 38 1340 „ trapped 336 48 131 51 45 54 70 23 56 5 19 20 38 41 150 2 .. 1089 New soil pipes fixed and ventilated 14 36 13 49 29 96 18 7 4 3 14 12 11 16 66 .. .. 388 New closet pans and traps fixed 261 93 107 184 204 118 227 71 57 25 197 68 114 43 192 11 .. 1972 Closets provided with a water supply and flushing apparatus 64 159 120 236 83 130 356 105 48 6 190 35 233 73 177 94 13 2122 Closets provided with liglit and ventilation 42 48 2 17 19 5 8 5 4 3 5 1 3 6 2 13 .. 183 „ cleansed and repaired 18 133 181 172 32 243 183 133 104 95 191 63 287 206 154 146 88 2429 Yards cleansed, repaved, or paving repaired 325 185 67 132 264 147 123 163 156 10 262 135 176 303 207 97 94 2846 Wash-houses, forecourts, areas, &c., paved 86 41 43 11 60 53 6 .. 66 76 14 6 15 31 29 6 6 549 Sanitary dust receptacles provided 151 122 1 44 104 53 84 50 26 45 219 87 75 57 90 40 104 1352 Sink, bath, and lavatory pipes and rain-water pipes disconnected 168 154 45 21 34 20 32 9 27 3 28 8 4 26 160 28 .. 767 Houses ventilated under lower floor 170 11 3 38 12 .. 7 11 11 6 7 4 17 81 44 .. 8 430 Miscellaneous repairs, viz.: roofs, floors, gutters, &c. 194 581 266 261 232 240 431 410 452 234 496 300 653 166 275 179 263 5633 Overcrowding in dwelling rooms abated 8 3 2 37 37 18 73 20 22 27 18 11 63 44 30 149 106 668 Illegal occupation of underground rooms discontinued 5 .. .. 3 .. 11 6 1 .. 5 .. .. 3 6 1 .. .. 41 Manure receptacles provided or reconstructed 6 6 1 2 5 1 1 2 .. 4 1 2 1 6 3 .. .. 41 Offensive accumulations removed 10 18 126 58 8 9 209 34 10 24 22 53 42 37 34 11 32 737 Bakehouses inspected 32 34 26 20 22 34 28 22 10 20 24 28 32 8 18 .. .. 358 „ cleansed 32 14 26 20 22 9 28 7 10 4 24 28 32 8 15 .. .. 279 Smoke nuisances abated 3 2 10 .. 3 3 4 8 11 4 .. 12 15 8 6 .. .. 89 Animals kept so as to constitute a nuisance, removed .. 3 .. 17 1 1 16 5 1 4 7 .. 8 5 8 12 8 96 Damp walls remedied 22 95 4 29 75 26 35 24 45 29 24 16 54 142 48 16 18 702 Cisterns cleansed and covered 8 8 .. 5 5 9 24 4 .. 5 3 2 10 8 23 21 4 139 Urinals fixed 2 1 .. .. 25 .. .. 1 .. 1 4 .. .. .. .. .. .. 34 Open fires in yards abolished .. .. .. 9 2 7 24 9 .. 3 .. .. 1 .. .. .. .. 55 Canal Boats inspected .. 63 .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 63 Areas and stables paved and drained 29 4 6 7 .. 2 5 2 .. 2 10 8 .. 5 1 .. .. 81 Occupation of shed as dwelling discontinued .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. Light and ventilation provided to rooms .. 2 .. 2 11 11 .. .. .. 9 11 19 73 45 2 21 15 221 59 72,069 re-visits were made to supervise the abatement of the nuisances complained of. 575 visits were made to the houses of consumptive people who had been notified by District Medical Officers. Police Court proceedings were taken in 45 instances where the statutory notices were disregarded. This number does not, of course, include proceedings under the Food and Drugs Acts. 10,480 drains were tested and 2,496 were either constructed or re-constructed cleansed or repaired, and 1,089 were trapped, 388 new soil pipes were fixed and ventilated; 1,972 new closet pans and traps were fixed, and 2,612 closets were either cleansed and repaired or provided with additional light and ventilation, as well as 2,122 water closets provided with proper flushing apparatus. 3,395 yards, forecourts and areas were paved or repaired. Notices were served to provide sanitary dust receptacles to 1,352 houses, and 41 manure receptacles were provided; 737 offensive accumulations were removed from the rear of dwelling houses. 430 houses were ventilated underneath the lower floor. 41 underground rooms, which were illegally occupied, were discontinued from being used as such. 89 notices were served for the abatement of smoke nuisances. 358 bakehouses were visited and 279 cleansing notices were served. 16,338 inspections were specially made for the purpose of detecting overcrowding and 668 living rooms were found to be overcrowded. The nuisance was abated in 513 cases without it being necessary to serve statutory notices. Police Court proceedings were not necessary in any instance. 3,915 houses were cleansed and the water supply was re-instated to 178 houses. 767 sink, bath, lavatory and rainwater pipes were disconnected; miscellaneous repairs were made to the roofs, floors, gutters, &c., of 5,633 houses and damp walls were remedied in 702 houses. The nuisaNce due to the keeping of animals was abated in 96 houses. 00 Police Court Proceedings under the Public Health (London) Act, 1891. On January 18th. Mr. W. Pago, 9, Walbrook, the owner of 56, Smith Street, was summ???ned for not complying with the Council's Bye-laws with regard to the paving of yards. He was fined £2 with 23s. costs. On January 27th. Mr. Henry Draper, 40, Grove Road, was summoned for non-compliance with a notice served to abate a nuisance caused by defective drain at 49, Alderney Road. An order was made to abate the nuisance within six weeks with 44s. costs. On February 7th. Mr. Specterman, 320, Commercial Road, was summoned for failing to abate a nuisance arising from the defective drain at 41, Kinder Street. He was fined £1 with 23s. costs. On February 10th. Mr. R. I. Barnett, 81, Hanbury Street, was summoned for not complying with the Council's notice to remove an accumulation of refuse from Causeway Court, Stepney Causeway. An order was made to abate the nuisance in five days with 25s. costs, and a recurring order was also granted. On February 10th. Mr. R. I. Barnett, 81, Hanbury Street, was summoned for not complying with the Council's notice to provide an ashpit at 7, Causeway Court. The bin having been provided before the hearing of the summons, the case was withdrawn cn payment of 44s. costs. On March 8th. Mr. Frederick Huxtable, 66, Pennyfields, Poplar, was summoned for failing to comply with the Council's notice to abate nuisances at 34, Marcon Street. He was fined £1 with 27s. costs, and an order was made to complete the work within seven days. On March 10th. Mr. Robert I. Barnett, 81, Hanbury Street, was summoned for failing to comply with the Council's notice to abate nuisances at 103, Grove Street, viz.: defective w.c. and yard paving. He was fined £2 with 44s. costs and an order was made to abate the nuisance in seven days. On March 10th. Mr. Alfred Eilis, 57, Chancery Lane, was summoned for failing to comply with the Council's notice to abate a nuisance at 13, Stutfield Street, due to the W.C.'s being insufficiently supplied with water. He was fined £2 with 44s. costs and an order was made to abate the nuicance in seven days. ei On March 16th. Messrs. Greville & Sons, 2, Staple Inn, Holborn, were summoned for not complying with the Council's notice to abate a nuisance caused by a defective drain, &c., at 221, High Street, Shidwell. An order was made to do the work in 14 days with 27s. costs. On April 7th. Mr. Ellis, 57, Chancery Lane, the owner of 15, Stutfiekl Street, was summoned for failing to comply with the Council's notice to abate a nuisance, arising from the W.C.'s being insufficiently supplied with water. He was fined £2 with 23s. costs. On April 15th. Mr. Isaac Harris, 45, Clifton Gardens, Maida Vale, was summoned for allowing an offensive accumulation of rags to remain on a vacant land adjoining 61, Fashion Street. An order was made to abate the nuisance in 10 days and a recurring order was also made with 69s. costs. On April 27th. Mr. Robert I. Barnett, 81, Hanbury Street, Whitechapel, was summoned for failing to comply with the Magistrate's order to repair a defective drain at No. 103, Grove Street. He was fined £3 with 44s. costs. On May 19th. Messrs. W. J. Bush & Son, 325, Romford Road, the owners of 113, Maroon Street, were summoned for not complying with Council's orders to abate a nuisance arising from the defective condition of the drain. He was fined £1 with 25s. costs. On May 23rd. Mr. Adolphus Cohen, 127, White???hapel Road, was summoned under the Bye-laws for failing to comply with the Council's notice to pave and drain the yard. He was fined £3 with 25s. costs. On May 31st. Mr. A. E. Greville, 2, Staple Inn, Holborn, was summoned for not complying with the Council's notice to remedy the defective drain at 221, High Street, Shadwell. After two adjournments, he was subsequently fined £2 with 44s. costs for not completing the work in accordance with the order of the Magistrate. On June 14th. Mr. Carmell, 178, Commercial Road, was summoned for failing to abate a nuisance arising from the defective drain at the above premises. An order was made to abate the nuisance within seven days with 44s. costs. 62 On June 27th. Mr. A. Gowler, 116, Alexander Road, Kilburn, the owner of Nos. 49 to 53, Joseph Street, was summoned for neglecting to remove an offensive accumulation of refuse in the yards. The yards were cleared before the date of the hearing and the summons was withdrawn on payment of 45s. costs. On June 20lh. Mr. Wm. Glibbery, the owner and occupier of 55, Alderney Road, was summoned for failing to abate a nuisance arising from the defective drain at 55, Alderney Road. An order was made to abate the nuisance within 42 days with 44s. costs. On July 7th. Mrs. R. Specterman, of 320. Commercial Road, was summoned for failing to pave the defective yard at 15, Old Montague Street. An order was made to abate the nuisance in 7 days, with 21s. costs. On July 7th. Mrs. R. Specterman, of 320, Commercial Road, was summoned for failing to remedy the defective sink waste pipe at 4, Frostic Mansions. An order was made to abate the nuisance in 7 days with 21s. costs. On July 7th. Mrs. R. Specterman, of 320, Commercial Road, was summoned for failing to pave the defective yard at 22a, Finch Street. An order was made to abate the nuisance in 7 days, with 21s. costs. On 14th July. Mr. Phillip Reuben, of 21, Elder Street, Norton Folgate, was summoned for permitting a nuisance arising from the foul and offensive condition of the fish barrows at 15, Old Montague Street. An order was made to abate the nuisance in 14 days, with 21s. costs, and a recurring order was also made. On July 18th. Mr. Phillip Greenberg, of 24, Hungerford Street, was summoned for non-compliance with the Council's order to remove an accumulation of filthy rags. He was fined £1 with 23s. costs and a recurring order was made. On July 28th. The owner of 1, Old Montague Street, was summoned for failing to abate a nuisance arising from the defective ventilating pipe of the drain. The W.C. in the yard being choked and without a water supply. An order was made to abate the nuisance in 7 days. On October 6th. Mr. Barnet Rudkinsky, of 30, Finch Street, was summoned for permitting a nuisance caused by the foul and offensive condition of fish barrows. An order was made to abate the nuisance in 7 days, with 27s. costs. A recurring order was also made. 63 On November 9th. The owner of the Paragon Music Hall, Mile End Road, was summoned for failing to comply with the notice of the Council, i.e., to remedy the defective condition of the drains and soil pipes. The Magistrate granted the order for the work to be completed within two months with 27s. costs. On December 16th. Messrs. Frost Bros., Ltd., of 342, Commercial Road, were summoned for emitting black smoke from their chimney shaft. They were fined £2 with 23s. costs. On December 28th. Mr. Brutton, of 26, St. Dunstan's Hill, was summoned for failing to abate a nuisance arising from the defective drainage beneath 123, 124, 125, St. George Street. An order was made to abate the nui-ance within seven days with 27s. costs. At the Public Health Committee Meeting in December a petition was read which had been signed by 10 inhabitants of the Borough that the effluvia from 10, Leman Street—a fried fish shop—was a nuisance and injurious to health. The petitioners requested the Borough Council to take action under Section 21 of the Public Health (London) Act, 1891. Although admitting that there was a certain smell emanating from the premises in question, I reported to the Committee that I considered the owner had taken all practicable and available means possible to abate the nuisance consistent with the structure of the premises. Under Section 21, the Council have no option but must take the proceedings requested in the petition. The Committee resolved that proceedings should be taken and that I should write to all the petitioners to give evidence to support the summons. Three of the petitioners called at Mr. Young's office and made statements. Several of the others, I was informed, had signed the petition under a misapprehension and were afterwards subpoenaed by the defendant to give evidence on his behalf. On Friday, December 30th, the summons was to be heard at the Thames Police Court, but the petitioners who had given their evidence to Mr. Young, informed him that they wished to withdraw as they were satisfied that the best available means had been taken to obviate all effluvia arising out of the process of fish frying. The summons was accordingly withdrawn. 64 Police Court Proceedings under the Metropolis Local Management Act, 1855. On April 7th. Messrs. Bolton & Co., 3, Temple Gardens, E.C., the owners of Nos. 10, 12, 11, 16 and 18, Grove Street, were summoned for constructing a combined drain without first obtaining the Council's consent in writing. Plans were afterwards submitted and the summons was withdrawn on payment of 23s. costs. On May 24th. Messrs. Hind & Son, 122, Cannon Street Road, the owners of 459, Mile End Road, were summoned for non-compliance with the Council's notice requiring the construction of a drain to the front area. They were fined Is. with 44s. costs. Police-Court Proceedings under the London County Council (General Powers) Act, 1904. On May 23rd. Messrs. Ga'insky & Latner, 60, Cephas Street, the owners of 82a, Grove Street, were summoned for failing to comply with Council's notice to cleanse the walls and ceiling of a verminous room. They were fined 5s. per day for 14 days with 63s. costs. Total £6 13s.0d. Police Court Proceedings under the London County Council (General Powers) Act, 1908. On October 21st. Mr. Isaac Futterman, 96, Mile End Road, owner, and Mr. George Hostler, occupier of 35, Ocean Street, were summoned for letting and occupying the above for the manufacture of food, viz., sweets, the said premises being unsuitable for such \ urpose. They were fined £1, with 10s. costs each. On December 1st. Mr. George Hostler, of 35, Ocean Street, was summoned for manufacturing food (sweets) under improper and unsatisfactory conditions. He was fined £2, with 44s. costs. Police Court proceedings under the London County Council Bye-laws made under Sec. 16 of the Public Health (London) Act, 1891. On June 9th. Mr. Frederick Simpson, 5, Avenue Road, Bow, was summoned for carrying offensive matter through the streets during prohibited hours. He was fined 10s. with 2s. costs. 65 On June 9th. Mr. Edward Stock, 2, Prospect Place, Romford, was summoned for carrying offensive matter through the streets during prohibited hours. He was fined 10s. with 2s. costs. On June 9th. Mr. Thomas Hilton, 175, Percy Road. Canning Town, was summoned for carrying offensive matter through the streets during prohibited hours. He was fined 10s. with 2s. costs. On June 9th. Mr. Walter Streeton, Marsh Gate Lane, Stratford, was summoned for causing offensive matter to be carried in receptacles insufficiently covered. He was fined £1 with 23s. costs. On September 3rd. Mr. Patrick Murphy, of 48, Brabazon Road, Poplar, and Mr. John Burton, of 192, Crisp Street, Poplar, were summoned for collecting fish offal during prohibited hours on Sunday, July 31st, 1910. They were fined £2 with 23s. costs each. On September 3rd. Mr. John English was summoned for collecting fish offal during prohibited hours on August 5th, 1910. He was fined £2 10s. with 23s. costs. On the 4th November. Mr. William Cockman, of Marsh Gate Lane, Stratford, was summoned for causing to be used improper receptacles for conveying offensive matter. He was fined £5 with 23s. costs. On November 4th. Mr. Ernest Morris, of 15, Durban Road, West Ham, a carman in the employ of William Cockman, was summor.ed for conveying offensive matter through the streets during prohibited hours. He was ordered to pay 2s. E 66 Housing and Town Planning Act, 1909. The number of houses dealt with under this Act was 55. Ely Terrace.—Official representation was made that Nos. 43-62 inclusive (20 houses) were in such a dilapidated condition as to be unfit for human habitation. The water-pipes had been cut and removed. There were no water-closet accommodation to any of the houses, as the pans had been removed. There was no suitable provision for the storage of food or coals. An order was made by the Council prohibiting the use of each of the said dwellinghouses for human habitation until in the judgment of the Council, the said dwellinghouses are rendered fit for that purpose. A similar resolution was passed by the Council with regard to:— 1. 2, and 3, Tenter Court. 1, 2, 3, 4, 5, 6, and 7, Miller's Court. 1, and 2, Regent's Place. 3, 4, 5, 6, and 7, Crown Court, Little Pearl Street. 1, 2, 3, 4, and 5, Bennet's Place. 1, 2, 3. and 4, Adelaide Court. 1, 2, 3, and 4, Cornwall Square. 1, 2, 3, 4, and 5, Cornwall Place. Public Analyst's Annual Report. During the year 1910, 1,222 Samples were examined under the Sale of Food and Drugs Acts, consisting of:—865 Milks, 1 Hot Milk, 3 Separated Milks, 3 Skimmed Milks, 192 Butters, 3 Milk-blended Butters, 1 Cream, 7 Margarines, 2 Cheeses, 2 Gorgonzola Cheeses, 6 Lards. 10 Cocoas, 1 Cocoa Essence, 23 Coffees, 1 Tea, 27 Mustards, 41 Peppers, 1 Arrowroot, 5 Oatmeals, 13 Rices, 1 Golden Syrup, 2 Jams, 1 Shrub, 1 Blaud's Pills, 1 Camphorated Oil, 2 Glycerines, 1 Lime Water, 1 Olive Oil, 5 Sausages. 155 Samples, or 12.7 per cent, were found to be adulterated. These consisted of:—121 Milks, 2 Separated Milks, 20 Butters, 1 Gorgonzola Cheese, 2 Cocoas, 1 Coffee, 1 Tea, 2 Mustards, 1 Pepper, 1 Golden Syrup, 1 Blaud's Pills, 1 Lime Water, 1 Camphorated Oil. Proceedings were taken in 75 cases. The total fines secured on the prosecutions was £298 16s. 0d., and £70 12s. 0d. was allowed in costs. The average fine secured on the prosecutions was £2 l1s. 9d. 67 Sunday Samples. 67 Samples were taken on 16 Sundays, 64 Milks and 3 Butters; 8 Milks were adulterated, and 4 prosecutions resulted. The adulteration of Sunday Milks was 12.5 per cent, as compared with 14.0 per cent, of week-day Milks. Unofficial Samples. 157 Samples which were purchased unofficially by the Inspectors were examined. They consisted of 8 Milks, 1 Condensed Milk, 144 Butters, 1 Margarine, 1 Cheese, 1 Coffee, 1 Honey. Of these 60 samples or 38 3 per cent, were found to he adulterated consisting of:—2 Milks, 57 Butters, 1 Cheese. 30 Samples were submitted for analysis by the General Public, consisting of:— 17 Milks, 1 Separated Milk, 5 Butters, 4 Margarines, 2 Cheeses, 1 Ginger Beer. Of these, 7 Samples or 23'3 per cent, were adulterated, consisting of 5 Milks, 2 Butters. Compared with the last 10 years, the adulteration, &c., was as follows:— YEAR. Samples Examined. Number Adulterated. Number of Prosecutions. Percentage of Adulteration. Percentage of Prosecutions. Amount secured in Fines. ge Fines. 1901 693 107 66 15.4 9.5 £ s. d. £ s. d. 135 17 6 2 1 2 1902 1187 260 118 21.9 9.9 220 15 0 1 17 4 1903 1171 214 88 18.3 7.5 175 18 0 1 19 11½ 1904 1191 190 58 15.9 4.9 131 11 0 2 5 4½ 1905 1176 187 76 15.9 6.5 137 11 1 1 16 2½ 1906 1147 241 122 21.0 10.6 252 3 0 2 1 4¼ 1907 1208 219 77 18.1 6.4 129 9 0 1 13 6 1908 1210 190 84 15.7 7.0 301 4 0 3 11 8½ 1909 1203 140 75 11.6 6.2 342 7 0 4 11 3½ 1910 1222 155 75 12.7 6.1 298 16 0 3 19 8 Average for the 10 years 1141 190 84 16.6 7.5 212 11 2 | 2 11 9 E 2 68 STATISTICS OF ADULTERATIONS FOR TH YEAR 1910. Nature of Sample. Number Examined. Number Adulterated. Number of Prosecutions. Percentage of Adulterations. ntage of Prosecutions. Milk 865 121 51 13.9 5-9 Milk (hot) 1 ... ... ... ... Milk (separated) 3 2 ... 66.6 ... Milk (skimmed) 3 ... ... ... ... Butter 192 20 19 10.4 100 Butter (milk blended) 3 ...... ... ... ... Cream 1 ... ... ... ... Margarine 7 ... ... ... ... Cheese 2 ...... ... ... ... Cheese (gorgonzola) 2 1 ... 50.0 ... Lard 6 ... ... ... ... Cocoa 10 2 ... 20.0 ... Cocoa (essence) 1 ... ... ... 4.3 Coffee 23 1 l 4.3 Tea 1 1 100.0 ... Mustard. 27 2 2 7.4 7.4 Pepper 41 1 1 2.4 2.4 Arrowroot 1 ... ... ... ... Oatmeal 5 ... ... ... ... Rice 13 ... ... ... ... Golden Syrup 1 1 ... 100.0 ... Jam 2 ... ... ... ... Shrub 1 ... ... ... ... Sausage 5 ... ... ... ... Blaud's Pills 1 1 ... 100.0 ... Glycerine 2 ... ... ... ... Lime Water 1 1 ... 100.0 ... Olive Oil 1 ... ... ... ... Camphorated Oil 1 1 1 100.0 100.0 Total 1,222 155 75 127 61 District. Whitechapel St. George's 331 34 20 10.3 6.0 258 26 7 10.1 2.7 Limehouse 223 21 5 9.4 2.2 Mile End 410 74 43 18.0 10.5 Total 1,222 155 75 12.7 6.1 69 SAMPLES TAKEN BY INSPECTORS DURING THE YEAR 1910. Nature of Sample. Inspector— J. W. Johnson. H. Quaintrell. R. H. Waterman. J. Twaits. G. O. Pavitt. E. T. Crook. R. Simpson. A. W. Stiles. J. White. E. W. Flint. T. W. Dee. T. P. Wrack. H. Mills. A. Cook. W. Shepherd. TOTAL. Milk 49 44 37 69 76 80 94 51 44 45 37 9? 52 46 56 872 Butter 10 15 14 13 7 7 10 14 16 18 5 16 23 16 11 195 Cream ... ... ... ... ... ... ... 1 ... ... ... ... ... ... ... 1 Margarine ... 2 3 ... ... ... ... 1 ... 1 ... ... ... ... 7 Cheese ... ... 1 1 ... ... ... 2 ... ... ... ... ... ... 4 Lard 4 1 1 ... ... ... ... ... ... ... ... ... ... ... 6 Cocoa 4 ... ... ... ... ... ... ... 2 3 ... ... 2 ... 11 Coffee 4 2 1 6 ... 5 1 ... ... ... ... ... 2 2 ... 23 Tea ... ... 1 ... ... ... ... ... ... ... ... ... ... ... ... 1 Mustard 2 ... 5 7 5 ... 1 ... 5 1 ... ... ... ... 2 32 Pepper 3 ... 4 4 6 5 2 ... 3 2 1 ... ... 2 3 39 Arrowroot 1 ... ... ... ... ... ... ... ... ... ... ... ... ... ... 1 Oatmeal 1 ... 1 ... ... ... ... ... ... ... ... ... ... ... ... 2 Rice 1 ... 4 ... 3 ... 2 ... 2 1 ... ... ... ... ... 13 Golden-Syrup ... ... ... ... 1 ... ... ... ... ... ... ... ... ... ... 1 Jam ... ... ... ... 2 ... ... ... ... ... ... ... ... ... ... 2 Sausage ... ... ... ... ... ... ... 3 ... ... ... 2 ... ... ... 5 Drugs ... ... ... ... ... 3 ... ... ... ... ... ... ... 3 ... 6 Cordial ... ... ... ... ... ... ... ... ... ... ... ... ... 1 ... 1 Total 79 72 72 100 100 100 110 72 72 71 43 110 77 72 72 1222 70 In addition to the samples already enumerated, 40 other samples of various descriptions were examined in the Laboratory during the year, consisting of:— For the Public Health Department— 3 Samples of Milk. 1 Sample of Butter. 3 Samples of Water. 7 Samples of Sausage. 2 Samples of Sweets. 2 Samples of Liquid Eggs. 2 Samples of Horse Flesh. 1 Sample of Beef. 1 Sample of Marmalade. 1 Sample of Saffron. 1 Sample of Cooking Oil. 1 Sample of Meat Extract. 3 Samples of Canned Goods. 1 Sample of Ginger Beer. 1 Sample of Baking Powder. 1 Sample of Carbolic Fluid. For the Electrical Department— 1 Sample of Water. 1 Sample of Water softening solution. 1 Sample of Bitumen. 2 Samples of Commutator Compound For the Works Department— 1 Sample of Carbolic Fluid. the Local Police Authorities— 1 Sample of Tea decoction. 1 Sample of Bread. 1 Sample of Margarine. 71 INSPECTORS' WORK UNDER THE SALE OF FOOD AND DRUGS ACTS DURING THE YEAR 1910. INSPECTOR. Samples taken. N umber Adulterated. Number of Prosecutions. Fines Secured. Costs Allowed. £ s. d. £ s. d. J. W. Johnson 79 10 3 4 0 0 2 6 0 H. Ouaintrell 72 5 0 0 0 0 0 0 0 R. H. Waterman 72 6 2 0 10 0 2 16 6 J. Twaits 100 15 9 43 10 0 10 7 0 G. O. Pavitt 100 18 12 122 1 0 14 13 6 E. T. Crook 100 25 12 32 0 0 13 16 0 R. Simpson 110 16 10 22 0 0 6 18 0 A. W. Stiles 72 12 3 0 0 0 3 9 0 J. White 72 6 1 1 0 0 1 3 0 E.W.Flint 71 5 2 4 0 0 2 6 0 T. W. Dee 43 3 1 6 0 0 1 3 0 T. P. Wrack 110 14 10 31 15 0 8 1 0 H. Mills 77 10 4 18 0 0 2 18 6 A. Cook 72 4 3 5 0 0 0 2 0 W. Shepherd 72 6 3 2 0 0 0 12 6 Total 1,222 155 75 298 16 0 70 12 0 72 ARTICLES ADULTERATED. Number. Article. Adulteration. Result. 2.L. Milk 5 per cent, added water Caution 4.L. Milk 14 „ „ £1 fine and 23s. costs 5.L. Milk 17 „ „ Withdrawn (same vendor as previous sample) 12.L. Milk 6 „ „ £20 fine 3.G. Milk 4 „ „ Caution 4.G. Milk 10 „ „ Dismissed (warranty) 8.E. Milk 21 „ „ £30 fine and £3 3s. costs 9 E. Milk 22 „ „ £30 fine and £3 3s. costs 9.M. Milk 3 „ „ Caution 10.M. Milk 12 „ „ £3 fine 11.M. Milk 3 „ „ Caution 12.M. Milk 3 „ „ Caution 10.E. Butter Margarine Caution 11.E. Butter Margarine 29 per cent, added water £5 fine and 23s. costs 2.A. Milk £3 fine and 23s. costs 12.G. Butter Magarine £4 fine 13.G. Butter 20 per cent, foreign fat £5 fine 24.L. Milk 2 per cent, deficient in fat and 8 per cent, added water 7s. fine and 23s. costs 27.L. Milk 2 per cent, added water Caution 28.L. Milk 2 „ „ Caution 20.L. Milk 14 „ „ £1 1s. fine and 23s. costs 30.L. Milk 5 „ „ Caution 31.L. Milk 5 „ „ 7s. fine and 23s. costs l.H. Milk 3 „ „ Caution 16.N. Milk 7 „ „ £2 fine 12.E. Milk 7 „ „ £2 fine 2.H. Milk 5 ,, ,, Caution 4.H. Milk 10 „ „ 10s. fine and 23s. costs. 5.H. Milk 3 „ „ Caution 7.H. Milk 3 „ „ Caution 8.D. Butter Margarine £10 fine and 23s. costs 9.1). Butter Margarine £2 fine and 23s. costs 5.F. Milk 3 per cent, added water Caution 8.F. Milk 3 „ „ Caution 9.F. Milk 7 „ „ 10s. fine and 23s. costs 10. F. Milk 3 „ „ Caution 12.F. Milk 19„ „ £2 fine and 23s. costs 9.H. Milk 10„ „ 10s. fine and 23s. costs 13.E. Butter Margarine £4 fine 16.G. Butter Margarine £5 and 23s. costs 5.B. Milk 10 Per cent. added water Caution 13.D. Milk 3 added water Caution 73 Articles Adulterated—continued. Number. Article. Adulteration. Result.  17.G. Butter 60 ,, foreign fat £5 fine and 23s. costs 17.M. Milk 4 „ deficient in fat Caution 20. M. Milk 42 „ „ £10 fine and 23s. costs 22.M. Milk 6 „ „ Caution 23.G. Milk 3 „ added water Caution 26. D. Butter 70 „ foreign fat £2 fine and 23s. costs 27.D. Butter 14 „ „ £2 fine and 23s. costs 13.H. Separated Whole milk containing 12 per Caution Milk cent. added water. 22.E. Milk 6 per cent. deficient in fat £5 fine and li's. 6d. costs 23.E. Milk 3 ,, added water Caution 22.C. Tea 10 „ foreign mineral matter Caution 23.C. Butter Margarine £5 fine and £2 4s. costs 26.M. Milk 10 „ added water £3 fine and 12s. 6d. costs 30.G. Milk 11 „ deficient in fat 23s. costs 10.J. Milk 4 „ added water Caution 27.F. Milk 10 „ „ £1 fine and 2s. costs 17.T. Milk 18 „ „ £6 fine and 23s. costs 19.H Milk 5 „ „ Caution 38. D. Butter Margarine £5 fine and 23s. cjsts 39.G. Milk 3 „ deficient in fat Caution 27.S. Milk 9 „ added water | 28.S. Milk 9 „ „ 1 £2 line and 12s. 6d.costs 29.S. Milk 9 „ „ 1 44.E. Milk 4 „ „ £20 fine 25.N. Milk 21 „ deficient in fat £1 fine 36.F. Milk 8 „ added water £5 fine and 23s. costs 55.L. Milk 7 „ „ Vendor absconded 56.L. Milk 6 per cent, deficient in fat £5 fine and 23s. costs. 49.D. Milk 6 „ Caution 27.H. Milk 6 „ „ Caution 15.13. Milk 5 „ added water Caution 19.B. Milk 4 per cent, deficient in fat Caution 20.13. Milk 9 per cent, added water... Warranty produced 27.A. Milk 3 „ „ Caution 30.A. Milk 13 per cent, added water... Caution 57.E. Mustard 50 „ fixed oil extracted ... 1s. fine and 23s. costs 22.J. Cocoa 2 „ added alkali Caution 24.J. Butter Margarine £1 fine and 23s. costs 68. L. Milk 13 per cent, deficient in fat £2 fine and 23s. costs 69.L. Milk 8 ,, added water £2 fine and 23s. costs 25.K. Milk 3 „ „ Caution 26. K. Milk 3 „ deficient in fat Caution 62. E. Milk 3 „ added water Caution 51.F. Milk 5 „ „ £1 fine and 23s. costs 54.F. Milk 3 „ „ Caution 55. F. Milk 3 „ „ Caution 74 Articles Adulterated—continued. Number. Article. Adulteration. Result. 57. F. Milk 5 per cent. added water £3 fine and 23s. costs 39.S. Milk 5 „ „ Caution 62.D. Coffee 35 „ Chicory £2 fine and 23s. costs 61. F. Milk 5 „ added water Caution 62. F. Milk 10 „ „ £1 fine and 23s. costs 66. F. Milk 17 „ „ 10s. fine and 23s. costs 67.F. Milk 3 „ „ Caution 68.F. Milk 3 „ „ Caution 70.E. Milk 5 „ ,, Caution 29.J. Milk 2 „ „ Caution 54.M. Milk 8 „ „ £2 fine and 23s. costs 56.M. Milk 5„ „ Caution 66.E. Milk 17 „ „ £1 fine and 23s. costs 51.A. Cocoa 2 „ added alkali Caution 10 ,, ground shell 55.A. Mustard 25 ,, wheat flour Dismissed (warranty) 29.T. Milk 3 „ added water Caution 30.H. Milk 4 „ „ Caution 39.H. Separated Milk 7 „ „ No action 49.H. Milk 8 „ „ £1 fine and 23s. costs 73.E. Butter Margarine £5 fine and 23s. costs 74.E. Milk 5 per cent, added water Caution 75.E. Golden Syrup 50 „ starch glucose Caution 42.C. Milk 10 „ added water Caution 79.D. Gorgonzola cheese 18 „ mineral rind Caution 58.A. Milk 3 „ added water Caution 60.A. Milk 8 „ „ Caution 63.A. Milk 8 ,, „ £1 fine and 23s. costs 84.D. Milk 5 „ „ Caution 49.K. Milk 5 ,, ,, Caution 83.G. Milk 30 „ „ £1 fine and 23s. costs 85.E. Butter Margarine Withdrawn. Proceedings against wholesale firm (91 E) 74.F. Milk 3 per cent, deficient in fat Caution 51.J. Milk 3 ,, added water Caution 59.N. Milk 3 „ ,, Caution 62.N. Milk 14 „ „ £2 fine and 2s. costs 89. D. Milk 4 „ „ Caution 92.D. Milk 10 „ „ 10s. fine and 2s. costs 60.C. Milk 2 „ „ Caution 61. C. Milk 2 ,, ,, Caution 91.E. Butter Margarine £20 fine and £3 3s. costs (Same as 85 E) 75 Articles Adulterated—continued. Number. Article. Adulteration. Result. 50.B. Milk 3 per cent.added water Caution 92. E. Milk 5 „ deficient in fat Caution 95. D. Milk 3 „ added water Caution 64.A. Milk 6 „ deficient in fat Caution 06. A. Milk 3 per cent, added water Caution 65. H. Milk 10 „ deficient in fat Caution 59.J. Milk 5 „ added water Caution 56.K. Milk 10 „ deficient in fat £2 fine and 23s. costs 103.G. Milk 5 „ added water £1 fine and 23s. costs 104.G. Milk 5 „ „ £1 fine and 23s. costs 96. D. Butter Margarine £20 fine and £24s. costs 84.F. Milk 4 „ added water Caution 93.F. Milk 13 „ „ £2 fine and 23s. costs 95. F. Milk 22 „ „ £4 and 23s. costs 57.S. Milk 5 ,, „ Caution 69.S. Milk 5 „ „ Caution 97.F. Butter Margarine £12 fine and £2 4s. costs 106.G. Milk 3 per cent, deficient in fat Caution 62. K. Butter 43 „ foreign fat £2 fine and 23s. costs 108.G. Milk ... 4 „ added water Caution 109.G. Milk 5 ,, „ Withdrawn (Warranty) 110.G. Milk 3 „ „ Caution 100.D. Milk 4 „ „ 23s. costs 98.F. Camphorated Oil 46 per cent, deficient in camphor 23s. costs 99.F. Lime water 4 „ „ lime No action 100. F. Blaud's Pills 12 „ foreign mineral matter No action 66.C. Pepper 25 ,, foreign starch 10s. fine and 12s. 6d. costs In addition to the foregoing prosecutions under the Sale of Food Drugs Acts, the following prosecution was taken:— October 13th, Mr. Frank Hawley, of 13, Beaumont Street, employed by Mr. T. C. Thomas was summoned for refusing to serve milk for analysis. fie was fined £1 and 23s. costs. One prosecution was taken under the Butter and Margarine Act, 1907, on December 21st, against Mr. John Davis of 1, Upper Chapman Street, for exposing for sale Margarine in an unlabelled box. He was fined £2 with £1 3s. costs. 76 Total Fines and Costs. Fines. Costs. Under the Public Health (London) Act for £ s. d. £ s. d. various nuisances 3G 0 0 49 18 0 For selling unsound food 220 0 0 41 5 0 By-laws for Houses let in Lodgings ..... ...... General Powers Acts 7 10 0 6 7 0 Metropolis Management Act 0 1 0 3 7 0 Food and Drugs Acts 298 10 0 70 12 0 Butter and Margarine Act, 1907 2 0 0 1 3 0 Dairies and Cowsheds Orders 18 12 0 13 1 0 Total 582 19 0 185 13 0 Table showing the number of milk premises, slaughter houses, ice-cream premises, &c., together with the number of inspections made to them. PREMISES NUMBER OF PLACES- Number of inspections, 1910. (5) Number of notices, 1910. (6) Number of prosecutions, 1910. (7) On register at end of 1909. (1) Added in 1910. (2) Remodel in 1910. (3) On register at end of 1910. (4) Milk premises ... 976 135 9 1102 1943 197 2 Cowsheds 37 ... 3 34 80 2 ... Slaughter-houses 6 ... ... 6 14 ... ... Other offensive trade premises 2 ... ... 2 8 ... ... Ice cream premises 144 28 12 160 273 56 ... Registered houses let in lodgings 2798 100 17 2881 4162 (a) 351 (b) 2184 (a) (b) (a) For overcrowding. (b) For other conditions. 77 Total number of Intimations served for all purposes 13,632 Overcrowding— Number of Inspections 16,338 Number of dwelling houses overcrowded 668 Intimations 763 IN umber of Notices served . Statutory Notices 155 Number remedied 668 Number of Prosecutions - Underground rooms— Illegal occupation dealt with during the year 42 Number of rooms closed 15 Insanitary Houses— Number closed under the Public Health (London) Act, 1891 — Number closed under the Housing of Working Classes Act 55 L.C.C. (General Powers) Act, 1903. Part VIII. Number of prosecutions for breach of by-laws as to conveyance of dead horses through the street — L.C.C. (General Powers) Act, 1904— Number of verminous rooms cleansed (Sec. 20) 1,742 Number of filthy articles purified (Sec. 19) 34 Number of sanitary conveniences altered (Sec. 22) — Number of sanitary conveniences removed (Sec. 22) — Number of fixed ashpits removed (Sec. 23) 21 L.C.C. (General Powers) Act, 1907. Number of tenement houses dealt with as regards water supply (Sec. 78) 40 Shelters provided under Sec. 60 (4) of the Public Health (London) Act, 1891 — Number of persons accommodated during the year 51 Places where Food is prepared for sale— Number on Register 343 Number of Inspections 881 Number of Notices served 133 78 House to House Inspections— Number of Inspections 8,075 Number of defects 4,173 Intimations 4,109 Number of Notices served Statutory Notices 1,518 Revenue Acts— Number of houses for which applications were received during the year 70 Number of tenements comprised therein 103 Number of tenements for which certificates were (a) granted 86 (b) refused 112 (c) deferred — Number of prosecutions under By-laws under the Public Health (London) Act, 1891— (a). For prevention of nuisance arising from snow, ice, salt, filth, etc — (b). For prevention of nuisance arising from offensive matter running out of any manufactory, etc — (c). For the prevention of keeping of animals in such a manner as to be injurious to health — (d). As to paving of yards, etc., of dwelling houses 1 (e). In connection with the removal of offensive matter, etc 9 (/). As to cesspools and privies, removal and disposal of refuse, etc — (g). For securing the cleanliness of tanks, cisterns, etc — (h) With respect to water closets, earth closets, etc — (i). With respect to sufficiency of water supply to water closets - With respect to drainage, etc. (Metropolis Management Act, Sec. 202) — (A). With respect to deposit of plans as to drainage, etc. (Metropolis Management Acts Amendments (By-laws) Act, 1899 1 Mortuaries— Total number of bodies removed 629 Total number of infectious bodies removed 3 79 Factories and Workshops. The total number of workshops on the Register was 3,452, hut this does not nclude factories, workplaces and outworkers premises. 5,540 inspections revealed defects, which necessitated the service of 1,552 written notices, 36 of these referred to factories, 1,483 to workshops including workshop laundries, and 33 to workplaces other than outworkers' premises. Cleanliness.—937 notices were served to properly cleanse workshops. Ventilation.—The ventilation of 92 workshops was improved. Overcrowding.—Overcrowding was abated in 39 workshops. Sanitary Accommodation.—The sanitary accommodation was improved in 187 workshops by providing additional and suitable water-closets. Outworkers' Premises.—3,762 inspections were made to outworkers' premises during the year, 631 premises were found to be insanitary, and notifiable diseases occurred in 76. The number of inspections appears to be small compared to the number of addresses of outworkers received from other Councils. These premises are mostly registered workshops and are included as such in our returns, although they may be deemed outworkers' premises inasmuch as work is carried on there for business houses in other districts. They are included in the column of addresses of outworkers' premises received from other Councils, but the record of visits made to them is included in the number of visits made to registered workshops. Again, a large percentage of these addresses are false, and on being visited by the Inspectors, it is found that the people have left many years previously in some instances, or have never lived there at all. These visits are not counted. 80 FACTORIES, WORKSHOPS, LAUNDRIES, WORKPLACES AND HOMEWORK 1.—INSPECTIONS. Premises. Number of Inspections. Written Notices. Prosecutions. (1) (2) (3) (4) Factories (Including Factory Laundries) 99 36 1 Workshops (Including Workshop Laundries) 5,353 1,483 •• Workplaces (Other than Outworkers' premises) 88 33 1 Total 5,540 1,552 2 2.-DEFECTS FOUND. Particulars. (i) Number of Defects. Number of Prosecutions. (5) Found. (2) Remedied. (3) Referred to H.M. Inspector. (4) Nuisances under the Public Health Acts Want of cleanliness 937 937 .. .. Want of ventilation 92 92 .. .. Overcrowding 39 39 .. .. Want of drainage of floors 12 12 .. .. Other nuisances 267 267 .. 2 Sanitary Accommodation insufficient 18 18 .. .. unsuitable or defective 138 138 .. .. not separate for sexes 31 31 ..' ' .. Offences under the Factory and Workshop Act:— .. .. Illegal occupation of underground bakehouse (S. 101) .. .. .. .. Breach of special sanitary requirements for bakehouses (SS. 97 to 100) 71 71 .. .. Other off en es (Excluding offences relating to outwork which are included in Part 3 of this report.) .. .. .. .. Total 1,605 1,605 .. 2 * Including those specified in Sections 2, 3, 7 and 8, of the Factory and Workshop Act as remediable under the Public Health Acts. 81 3.—HOME WORK. NATURE OF WORK. Outworkers' Lists. Section 107. Inspections of Outworkers' Premises. Outwork in Unwholesome Premises, Section 108. Outwork in Infected Premises, Sections 109, 110. Lists Received from Employers. Addresses of Outworkers. Notices served on Occupiers as to keeping or sending lists. Prosecutions. Instances. Notices Served. Prosecutions. Instances. Orders Made, (S. 110). Prosecutions (Sections 109, 110). Twice in the Year. Once in the Year Received from other Councils. Forwarded to other Councils. Failing to keep or permit inspection of Lists. Failing to send Lists. Lists. Outworkers. Lists. Outworkers. Workmen. Workmen. (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17). Wearing Apparel— (1) Making, &c. 242 3737 22 169 7651 1698 .. .. .. 3520 590 590 .. 75 .. .. (2) Cleaning and Washing .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. Lace, Lace Curtains & Nets .. .. .. .. 3 .. .. .. .. 3 .. .. .. .. .. .. Artificial Flowers .. .. .. .. 6 .. .. .. .. 2 .. .. .. .. .. Nets, other than Wire Nets .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. Tents .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. Sacks 4 14 1 2 .. .. .. .. .. 9 1 1 .. .. .. .. Furniture and Upholstery. .. .. .. .. 11 .. .. .. .. 3 1 1 .. .. .. .. Fur Pulling (Furriers) .. .. .. .. 53 .. .. .. .. 34 6 6 .. .. .. .. Feather Sorting .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. Umbrellas, &c. 2 9 .. .. 105 3 .. .. .. 78 7 7 .. .. .. .. Carding, &c., of buttons, &c. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. Paper Bags and Boxes 6 145 1 1 92 115 .. .. • • 64 16 16 .. .. .. .. Basket Making .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. Brush Making 4 20 .. .. 83 10 .. .. .. 49 10 10 .. 1 .. .. Racquet and Tennis Balls .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. Stuffed Toys .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. File Making .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. E'ectro Plate .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. Cables and Chains .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. Anchors and Grapnels .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. Cart Gear .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. Locks, Latches and Keys.. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. Pea Picking,. .. .. .. .. .. •• .. .. .. .. .. .. .. .. .. .. Total 258 3925 24 172 8004 1826 .. .... .. 3762 631 631 •• 76 .. .. ‡Column 6. The numbers in this column contain a large number of addresses which, on being inspected by the Sanitary Inspectors, were found to be already register by us as Workshops, and are therefore not included in the actual number of outworkers resident in the Borough. The same addresses were included on he Lists of several employers, some being sent in on a dozen Lists 82 4.—REGISTERED WORKSHOPS. Workshops on the Register (S. 131) at the end of the year 1909. (1) Number. (2) Bakehouses 175 Boot, Shoe and Slipper Making 218 Cabinet Making 123 Furriers 136 Hat and Cap Manufacturers 85 Miscellaneous 441 Laundries 26 Rag Sorting, etc. 66 Wearing Apparel (Tailors, Milliners, Dressmakers, etc., etc.) 2,179 Total 3,452 5.—OTHER MATTERS. Class. (1) N umber. (2)  Matters notified to H.M. Inspector of Factories:— Failure to affix Abstract of the Factory and Workshop Act (S. 133) 83 Action taken in matters referred by H.M. Inspector as remediable under the Public Health Acts, but not under the Factory and Workshop Act (S. 5) Notified by H.M. Inspector 190 Reports (of action taken) sent to H.M. Inspector. 146 Other 44 Underground Bakehouses (S. 101): — Certificates granted during the year In use at the end of the year 49 83 BAKEHOUSES. 49, Anthony Street 104, Anthony Street 22, Batty Street 20, Bedford Street 51, Bedford Street 38, Bell Lane 60, Bell Lane 43, Ben Jonson Road 81, Ben Jonson Road 70, Berner Street 150, Bow Common Lane 224, Bow Common Lane 26, Brick Lane 48, Brick Lane 70, Brick Lane 122, Brick Lane 21, Brady Street 3, Bridge Street 92, Bridge Street 91, Brook Street 58, Burdett Road 91, Burdett Road 173, Burdett Road 54, Buxton Street 20, Cable Street 36, Cable Street 86, Cable Street 111, Cable Street 186, Cable Street 278, Cable Street 293, Cable Street 415, Cable Street 367, Cable Street 43, Cadiz Street 108, Cannon Street Road 157, Cannon Street Road 49, Charles Street 127, Charles Street 167, Charles Street 9a, Chicksand Street 14, Chicksand Street 32, Church Lane 36, Christian Street 135, Christian Street 137, Christian Street 122, Clark Street 62, Cleveland Street 59, Commercial Road 81, Commercial Road 136, Commercial Road 192, Commercial Road 265, Commercial Road 336 & 338, Commercial Road 337, Commercial Road 411, Commercial Road 508, Commercial Road 631, Commercial Road 821, Commercial Road 72, Commercial Street 18, Copley Street 9, Coke Street 81, Coutts Road 1, Crellin Street 13, Devonport Street 3, Dock Street 12, Duckett Street 73, Duckett Street 137, Eastfield Street 31, Fieldgate Street 48, Fieldgate Street 38, Globe Road 142, Globe Road 32, Great Hermitage Street 48, Great Garden Street 65, Greenfield Street 13, Grove Street 4, Hanbury Street 102, Hanbury Street 156, Hanbury Street 27, Hardinge Street F 2 84 BAKEHOUSES—continued. G8, Harford Street 34, Heath Street 7, Hessel Street 71, Hessel Street 54, High Street, Whitechapel 56, High Street, Whitechapel 3, High Street, Shoreditch 28, Hunt Street 2, Jubilee Street 115, Jubilee Street 135, Jubilee Street 203, Jubilee Street 5, King David Lane 32, King Edward Street 1, Lamb Street 38, Leman Street 117, Leman Street 7, Limehouse Causeway 40, Limehouse Causeway 84, Locksley Street 67, Lower Chapman Street 76a, Maplin Street 68, Middlesex Street 11, Mile End Road 132, Mile End Road 205, Mile End Road 397, Mile End Road 622, Mile End Road 4, Morris Street 34, New Road 107, Old Gravel Lane 6, Old Castle Street 67, Old Montague Street 87, Old Montague Street 75, Oxford Street 249, Oxford Street 256, Oxford Street 275, Oxford Street 35, Pelham Street 42, Philpot Street 41, Portland Street 1, Providence Street 77, Plumber's Row 99, Redmans Road 90, Red Lion Street 3, Repton Street 31, Repton Street 35, Rhodeswell Road 56, Rhodeswell Road 132, Rodeswell Road 71, Salmon Lane 131, Salmon Lane 181, Salmon Lane 209, Salmon Lane 53, Settles Street 40, Sheridan Street 1, Short Street 89, Sidney Street 16, Spelman Street 4, Stepney Green 43, Stainsby Road 64, St. Ann's Road 31, St. George Street 31, St. Paul's Road 117, St. Paul's Road 6, St. Peter's Road 10, St. Mark Street 36, Three Colt Street 51, Three Colt Street 77, Three Colt Street 93, Three Colt Street 45, Thomas Street, Limehouse 22, Umberston Street 57 & 59, Umberston Street 23, Vallance Road 38, Vallance Road 79, Vallance Road 17, Waley Street 49, Watney Street 1, Wentworth Street 85 BAKEHOUSES—continued. 41, Wentworth Street 75, Wentworth Street 91, Wentworth Street 7, West Street 96, West Street 42, White Horse Street 105, White Horse Street 146, White Horse Street 147, White Horse Street 185, Whitechapel Road 84, White Horse Lane 1, Wilson Street 87, Wilkes Street LIST OF COWHOUSES. Number of Cows kept in October. Number of Cows licensed to be kept 63, Brook Street 19 19 21a, Black Lion Yard 30 30 Batson Street 1 50 408, Commercial Road 8 8 77, Commercial Road 26 26 136, Charles Street 13 14 155, 156 & 157, Railway Arches, Drewton Street 39 41 18, Fairclough Street 38 56 1, Hannibal Road 25 25 37, Hanbury Street 15 18 66, Harford Street 1 10 12, Hilton Street 8 8 42, Jubilee Street 48 44 15, Maroon Street 12 12 5, Meeting House Alley 9 12 28, Mile End Place 6 8 25, Norfolk Street 57 56 36, Old Church Road 138 148 37, Old Montague Street 15 16 64, Pelham Street 15 16 56, Princes Square 33 32 5, Russell Street 7 7 5, Sage Street 14 16 Ship Street 9 12 1, Sidney Street 21 21 150, Sidney Street 19 20 Saw Yard 8 8 86 LIST OF COWHOUSES—continued. Number of Cows kept in October. Number of Cows licensed to be kept. 33, St. Ann's Road 19 19 15, Tilley Street 14 14 Tredegar Dairy, Upper Montague Street 70 75 11, Umberston Street 14 14 1, Upper Chapman Street 11 19 37, White Horse Street 21 29 64, White Horse Lane 12 14 The licenses of the Cowhouses in Plough Square and Nos. 42 and 44, Ropemakers Fields, licensed for 15 and 9 cows respectively, were allowed to lapse by the Owner, There were more cows at No. 25, Norfolk Street, 50, Princes Square and 42, Jubilee Street than the owners were allowed to keep. LIST OF SLAUGHTERHOUSES. 2, High Street, Whitechapel 26, Three Colt Street 3, High Street, Whitechapel 160, White Horse Street 199, Mile End Road 49, High Street, Wapping I have again to express my indebtedness to the Sanitary Inspectors and Clerical Staff for the manner in which they have assisted me in carrying out the duties of my office. I have the honour to be, Mr. Mayor and Gentlemen, Your obedient Servant, D. L. THOMAS. Medical Officer of Health and Public Analyst. Public Health Offices, 43, White Horse Street, Commercial Road, E. May, 1911. 87 VITAL STATISTICS OF THE WHOLE BOROUGH DURING 1910 AND PREVIOUS YEARS. Required by Local Government Board. Area of Borough in acres exclusive of area covered by water) 1,902-766 Total population of all ages 298,600 At No. of inhabited houses 31,462 Census 1901. Average number of persons per house 9.4 TABLE I. Vital Statistics of Whole District during 1910 and Previous Years. Metropolitan Borough of Stepney. Year. Population estimated to Middle of each Year. Births. Total Deaths Registered is the District. Total Deaths in Public Institutions in the District. Deaths of nonresidents registered in Public Institutions in the District. Deaths of residents registered in Public Institutions beyond the District. Nett Deaths at all Ages belonging to the District. Number. Kate.* Under 1 Year of Age. At all Ages. Number. Rate per 1,000 Births Registered. Number. Rate. * N umber. Rate.* 1 2 3 4 5 6 7 8 9 10 11 12 13 1900 312340 11167 35.7 1854 166. 6972 21.7 3128 1516 1296 6572 21 1901 298600 11052 37. 1817 165. 6541 21.9 2813 995 671 6217 20-8 1902 300551 11294 37.5 1760 155.8 6073 20.2 2S21 925 1015 6163 20-5 1903 302153 11271 37.6 1687 149.6 5683 18.8 2844 976 730 5437 17-9 1904 303791 11159 36.7 1868 167.3 6115 20.1 2803 957 785 5943 19-5 1905 305466 10596 34.6 1745 164.6 5673 18.5 2841 1014 774 5433 17-7 1906 307176 10668 34.7 1641 153.8 5871 19.1 1818 1202 766 5435 17-6 1907 308923 10226 33.1 1361 133. 5121 16.5 2787 990 765 4896 15-8 1908 310706 10124 32.5 1481 146. 5456 17.5 3013 1062 782 5176 16-6 1909 312525 9502 30.4 1264 128.6 5225 16.7 2915 1142 676 4759 15-2 Averages for years 1900-1909. 306223 10706 35. 1648 153. 5873 19.1 2778 1078 826 5603 18-3 1910 316269 9164 28.9 1041 113. 4792 15.1 2785 1128 635 4299 13-5 * Rates in Columns 4, 8, and calculated per 1,000 ot estimated population. Note.—The deaths to be included in Column 7 of this table are the whole of those registered during the year as having actually occurred within the district or division. The deaths included in Column 12 are the number in Column 7, corrected by the subtraction of the number in Column 10 and the addition of the number in Column 11. By the term " Non-resid€nts " is meant persons brought into the district on account of sickness or infirmity, and dying in public institutions there ; and by the term " Residents " is meant persons who have been taken out of the district on account of sickness or infirmity, and have died in public institutions elsewhere. The " Public institutions" to be taken into account for the purposes of these Tables are those into which p<reons are habitually received on account of sickness or infirmity, such as hospitals, workhouses, and lunatic asylums. A list of the Institutions in respect of the deaths in which corrections have been made are given on the back of this table. I. II. III. Institutions within the District receiving sick and infirm persons from outside the District. Institutions cutside the District receiving sick and infirm persons from the District. Other Institutions, the deaths in which have been distributed among the several localities in the District. London Hospital. Stepney Workhouse. The Fever Hospitals. lilast London Hospital for Children. Poplar and Stepney Sick Asylum. The Lunatic Asylums, &c., see pages 8,9,&10. Jewish Home.. Mothers' Lying-in Home. Mile End Infirmary. Whitechapel Infirmary. St. George's Infirmary. Is the Union Workhouse within the District? Three within and one without. TABLE II. Vital Statistics of separate Localities in 1910 and Previous Years. NAMES OF LOCALITIES. 1.—LIMEHOUSE DISTRICT. 2.—ST. GEORGE'S DISTRICT. 3.—MILE END DISTRICT. 4.—W HITECHAPEL DISTRICT. Year. Population Estimated to Middle of each Year. Births Kegistered. Deaths at all Ages. Deaths under One Year. Population Estimated to Middle of each year. Births Registered. Deaths at all Ages. Deaths under One Year. Population Estimated io Middle of each Year. Births Registered. Deaths at all Ages. Deaths under One Year. Population Estimated to Middle of each Year. Births Registered. Deaths at all Ages. Deaths under One Year. 1900 58944 1839 1529 428 48875 2175 1187 308 119521 4273 2311 731 85000 2880 1545 405 1901 57937 1891 1427 31)9 49068 2119 1129 392 112827 4184 2139 627 78768 2858 1522 399 1902 58071 1869 1374 369 49658 2191 11C0 351 113720 4425 2166 657 79102 2809 1523 330 1903 58184 1863 1148 308 50140 2067 1020 349 114152 4474 1876 547 79377 2867 1393 395 1904 58176 1905 1350 397 50526 2216 1086 357 114957 4328 2099 631 80132 2710 1408 388 1905 58259 1918 1184 313 50992 2126 1041 334 115642 3938 1964 555 80573 2614 1244 312 1906 58538 1893 1233 319 51075 2134 976 301 116226 4122 1921 522 81337 2519 1305 312 1907 58685 1855 1018 243 52150 2107 922 274 117529 3832 1708 431 80559 2432 1248 269 1908 58822 1926 1185 330 52674 1982 910 280 118336 3914 1869 462 80874 2302 1212 248 1909 58963 1918 1033 256 53206 1781 915 260 119159 3674 1663 391 81197 2129 1148 223 Averages of Years 1900 to 1909. 58457 1887 1248 336 50836 2089 1028 320 116236 4116 1971 553 80691 2612 1354 328 1910 59464 1801 929 247 54071 1861 807 224 120717 3553 1553 355 82017 1952 1010 215 TABLE III. Cases of Infectious Disease notified during the Year 1910 Notifiable Disease. Cases notified in Whole District. Total Casks notified in Locality. each No. of Cases removed to Hospital fkom each Locality. At all Ages. At Agos—Years. I- 2. 3. 4. 1. 2. 3. 4. Total cases removed to Hospital. Under 1. 1 to 5. a to 15. 15 to 25. 25 to 05. 65 auil upwards Limehouse. St. George's. Mile End. Whiteuhapel. Limehouse. St. George's. Mile End. Whitechapel. Small-pox •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• Cholera •• • • •• •• •• •• •• •• •• •• •• •• •• •• •• •• Diphtheria (including Membranous croup) 352 18 197 112 18 7 •• 79 88 118 67 73 86 113 64 336 Erysipelas 377 19 17 34 35 231 41 61 63 119 134 17 12 29 65 123 Scarlet fever 498 11 198 248 34 7 •• 98 84 188 128 90 83 179 123 475 Typhus fever •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• Enteric fever 111 •• 4 42 29 35 1 19 24 50 18 19 24 48 15 106 Relapsing fever • • •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• Continued fever •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• Puerperal fever 30 •• .. •• 12 18 •• 4 4 11 11 2 3 8 10 23 Plague •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• Cerebro-spinal fever 6 4 •• 2 •• •• •• 2 0 1 1 1 2 1 1 5 Anthrax •• •• •• •• •• •• •• •••' •• •• •• •• •• •• •• •• Totals 1374 52 416 438 128 298 42 263 265 487 359 202 210 378 278 1068 TABLE IV.—Causes of, and Ages at, Death during the year igio. Causes or Death. All ages. Deaths in or belonging to whole District at subjoined Ages. dkath8 in or belonging to Localities (at all Ages). Total Deaths in Public Institutions in the District. Under 1 year. 1 and tinder 5. 5 and under 15. 15 and under 25.. 25 and undi r 65. 65 and upwards. Limehouse. St. George's. Mile End. Wbiteehapel. Small Pox .. .. .. .. .. .. .. .. .. .. .. .. Measles 93 33 59 1 .. .. .. 23 19 27 24 48 Scarlet fever 12 2 8 2 .. .. .. 2 3 5 2 .. Whooping-cough 110 58 52 .. .. .. .. 42 16 40 12 75 Diphtheria (including Membranous croup) 29 5 21 3 .. .. .. 5 10 8 6 28 Croup 4 1 3 .. .. .. .. 1 .. 2 1 1 Fever Typhus .. .. .. .. .. .. .. .. .. .. • • • • Enteric 16 .. .. 1 .. 13 1 4 4 6 2 10 Other continued .. .. .. .. .. .. .. .. • • .. .. .. Epidemic influenza 43 2 .. 1 .. 16 24 4 21 10 8 24 Cholera .. .. .. .. .. .. .. .. .. .. .. .. Plague .. .. .. .. .. .. .. .. .. .. .. .. Diarrhœa 128 103 23 1 .. .. 1 27 31 45 25 138 Enteritis 57 40 9 2 .. 4 2 13 9 19 16 31 Gastritis 20 14 .. .. .. 4 2 8 4 6 2 .. Puerperal fever 15 .. .. .. .. 12 .. 4 2 5 4 27 Erysipelas 8 3 1 .. .. 4 .. 3 2 2 1 3 Phthisis (Pulmonary Tuberculosis) 410 2 5 10 69 308 16 74 80 146 110 159 Other tubercular diseases 137 36 54 24 .. 10 4 33 26 43 35 160 Cancer, malignant disease .. 228 .. .. 2 .. 155 70 54 35 80 59 185 Bronchitis 390 55 16 1 .. 158 160 95 70 112 113 130 Pneumonia 511 128 136 17 7 180 4 3 114 100 179 118 340 Pleurisy 14 .. ... .. 2 10 2 3 2 6 3 13 Other diseases of Respiratory organs 38 9 12 .. .. 15 2 10 6 12 10 49 Alcoholism ) 30 .. .. .. .. 28 2 7 6 11 6 24 Cirrhosis of Liver ) .. .. .. .. .. .. .. .. .. .. .. .. Venereal diseases 27 16 .. .. 3 8 .. 5 6 9 7 18 Premature birth 151 151 .. .. .. .. .. 39 29 44 39 4o Diseases and accidents of parturition 24 13 .. .. 1 10 4 5 6 9 9 Heart diseases 335 9 3 16 16 192 99 63 65 138 69 178 Accideiits 197 36 33 21 9 63 35 48 39 65 45 149 Suicides 28 .. .. .. 2 22 4 6 2 12 8 12 Rheumatic fever 6 .. .. .. 2 4 .. 1 3 .. 2 3 Convulsive diseases 118 92 26 * * .. .. .. 27 27 39 25 22 Wasting diseases 206 190 16 .. .. .. .. 36 57 76 37 115 Old age 216 .. .. .. .. 2 214 51 17 111 37 84 All other causes 698 43 34 44 29 390 158 123 111 289 175 705 All causes 4299 1041 511 146 154 1608 839 929 807 1553 1010 2785 TABLE V. Infantile Mortality during the Year 1910. Deaths from stated Causes in Weeks and Months under One Year of Age. Cause of Death. Under 1 Week. 1-2 Weeks. 2-3 Weeks. 3-4 Weeks. Total under 1 Month. 1-2 Months. 2-3 Month*. 3-4 Months. 4-5 Months. 5-6 Months. 6-7 Months. 7-8 Months. 8-9 Months. 9-10 Months. 10-11 Months. 11-12 Months. Total Deaths under One Y ear. All Causes Certified 186 56 44 42 328 107 84 84 55 64 45 48 68 59 48 51 1041 Uncertified •• .. .. .. .. .. •• .. .. .. .. .. .. .. .. •• .. Common Infectious Diseases. Sinall-pox .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. Chicken-pox .. .. .. .. .. .. .. .. .. .. .. .. .. 1 .. .. 1 Measles .. .. .. .. .. 1 .. .. .. 1 2 6 7 4 3 9 33 Scarlet Fever .. .. .. .. .. .. .. .. .. .. 1 .. .. .1 2 Diphtheria (including Membranous Croup) .. .. .. .. .. .. .. .. .. 2 1 1 .. .. .. 2 6 Whooping Cough .. 1 .. .. 1 5 2 4 7 3 9 4 8 5 5 5 58 Diarrhoeal Diseases. Diarrhœa, all forms .. .. 2 2 4 10 11 16 8 12 4 5 12 8 7 6 103 Enteritis, Muco-enteritis, Gastro-enteritis 1 1 .. 3 5 8 3 2 2 10 .. 1 3 , 3 2 1 40 Gastritis, Gastro-intestinal Catarrh .. 1 1 1 3 2 5 2 .. .. .. .. 1 .. 1 .. 14 Premature Birth 114 16 6 5 141 4 3 1 .. .. .. .. .. .. .. .. 149 Wasting Diseases. Congenital Defects 23 6 2 5 36 8 5 1 .. 1 1 .. .. .. .. .. 52 Inj ury at Birth 11 2 .. .. 13 .. .. .. .. .. .. .. .. .. .. .. 13 Want of Breast-milk, Starvation .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. Atrophy, Debility, Marasmus 17 11 19 8 55 23 17 20 13 10 6 6 4 8 7 .. 169 Tuberculous Diseases. Tuberculous Meningitis •• .. .. .. .. .. .. .. .. 1 2 2 5 1 .. 1 12 Tuberculous Peritonitis: Tabes Mosenterica .. .. .. .. .. 1 3 1 1 1 1 .. .. .. *4 1 1 Other Tuberculous Diseases. .. .. .. .. .. 1 1 1 2 .. .. .. 1 4 1 .. 13 Other Causes Erysipelas .. .. .. .. .. 2 .. .. .. .. .. 1 1 .. • • .. 3 Syphilis .. 2 .. 3 5 - 3 4 1 .. .. 1 .. .. .. • • 16 Rickets .. .. .. .. .. .. .. .. .. .. 1 2 2 1 1 .. 9 Meningitis (not Tuberculous) 1 2 1 2 6 .. .. 1 2 1 2- 1 .. 1 2 .. 16 Convulsions 7 6 5 .. 18 6 5 7 4 5 . 3 3 3 1 4 .. 59 Bronchitis 1 2 1 5 9 11 6 6 .. 4 .. 4 2 4 2 7 55 Laryngitis .. .. .. .. .. .. .. 1 .. .. .. .. .. 1 1 .. 3 Pneumonia 3 2 1 4 10 12 10 9 11 7 10 9 16 14 5 15 128 Suffocation, overlying 3 2 2 1 8 7 6 5 1 1 .. .. 1 1 .. .. 30 Other Causes 5 2 4 3 14 4 4 3 3 5 2 1 9 3 2 44 86 56 44 42 328 107 84 84 55 64 45 48 68 59 48 51 1041 Birtlis in the yen legitimate, 8,980 illegitimate, 187 Population, estimated to middle of 1910 316,269 „ ( legitimate infants. 980 Deaths in the year of illegitimate infants 61 Deaths from all Causes at all Ages, 4,299 LIMEHOUSE DIVISION. TABLE V. Infantile Mortality during the Year 1910. Deaths from stated Causes in Weeks and Months under One Year of Age. Cause or Death. Under 1 Week. 1-2 Weeks. 2-3 Weeks. 3-4 Weeks. Total under 1 Month. 1-2 Months, j 2-3 Months. 3-4 Months. 4-5 Months. 5-G Months. 6-7 Months. 7-8 Months. 8-9 Months. 9-10 Months. 10-11 Months. 11-12 Months. Total Deaths under One Y ear. All Causes. 1 Certified 42 13 5 13 73 23 23 24 15 10 11 16 20 16 5 11 247 Uncertified .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. Common Infectious Diseases. Small-pox .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. Chicken-pox .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. Measles .. .. .. .. .. .. .. .. .. .. .. 2 4 1 .. .. 7 Scarlet Fever .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. Diphtheria (including Membranous Croup) .. .. .. .. .. .. .. .. .. .. 1 .. .. .. .. .. 1 Whooping Cough .. 1 .. .. 1 2 2 2 4 1 4 1 3 2 .. 3 25 Piarrhoeal Diseases. Diarrhœa, all forms .. .. 1 • • 1 3 2 3 2 1 2 .. 2 3 2 .. 22 Enteritis, Muco-enteritis, Gastro-enteritis .. .. .. 1 1 1 .. .. 1 4 .. .. 2 .. .. .. 9 Gastritis, Gastro-intestinal Catarrh .. 1 1 1 3 1 1 1 .. .. .. .. .. .. .. .. 6 Wasting Diseases. Premature Birth 30 1 1 2 34 .. 2 1 .. .. .. .. .. .. .. .. 37 Congenital Defects 4 2 .. 3 9 1 1 .. .. .. .. .. .. .. .. .. 11 Inj ury at Birth 2 .. .. .. 2 .. .. .. .. .. .. .. .. .. .. .. 2 Want of Breast-milk, Starvation .. .. .. .. .. .. .. .... .. .. .. .. .. .. .. .. .. Atrophy, Debility, Marasmus 2 3 1 1 7 5 3 6 1 1 .. 2 3 3 1 .. 32 Tuberculous Diseases. Tuberculous Meningitis .. .. .. .. .. .. .. .. .. .. 1 1 1 .. .. 1 4 Tuberculous Peritonitis: Tabes Mesenterica .. .. .. .. .. .. .. .. .. 1 .. .. .. .. 1 .. 2 Other Tuberculous Diseases .. .. .. .. .. .. 1 .. 1 .. .. 1 .. 2 1 .. 6 Other Causes. Erysipelas .. .. .. .. .. 1 .. 2 .. .. .. .. .. .. .. 1 Syphilis .. .. .. .. .. .. .. .. .. .. 1 .. .. .. .. 3 Rickets .. .. .. .. .. .. .. .. .. .. .. .. 1 1 .. .. 2 Meningitis (not Tuberculous) .. .. .. 1 1 .. .. 1 1 .. .. .. .. .. .. .. 3 Convulsions 3 2 .. .. 5 2 3 1 .. .. 1 .. 1 1 .. .. 13 Bronchitis .. 2 .. .. 2 5 3 2 .. 1 .. 4 .. .. .. 3 21 Laryngitis .. .. .. .. .. .. .. .. .. .. .. .. .. 3 .. .. .. Pneumonia .. .. .. .. 2 1 2 4 4 .. 3 1 .. .. 3 25 Suffocation, overlying .. .. .. 1 1 .. 1 1 1 • • .. .. .. .. .. .. 4 Other Causes 1 1 1 1 4 1 2 • • • • 1 .. 1 2 .. .. .. 11 42 13 5 13 73 23 23 24 15 10 11 16 20 16 5 11 247 Births in the yeai (\legitimate, 1,769 illegitimate, 32 Deaths from all Causes at all Ages, 929. Population, estimated to middle of 1910 59,46 legitimate mrants, 235 illegitimate infants, 12 Deaths in the year of ST.GEORGES DIVISION. TABLE V. Infantile Mortality during the Year 1910. Deaths from stated Causes in Weeks and Months under One Year of Age. Cause of Death. Under 1 Week. 1-2 Weeks. 2-3 Weeks. 3-4 Weeks. Total under 1 Month. 1-2 Months. 2-3 Months. 3-4 Months. 4-5 Months. 5-6 Months. 6-7 Months. 7-8 Months. 8-9 Months. (9-10 Months. 10-1 I Monrhs. 11-12 Months. Total Deaths unnder One Year. All Causes. Certified 37 10 15 5 67 24 19 17 15 17 16 10 7 11 13 8 224 Uncertified •• .. .. .. .. .. .. .. .. •• •• .. .. .. •• •• .. Common Infectious Diseases. Small-pox .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. Chicken-pox .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. Measles .. .. .. .. .. 1 .. .. .. .. .. 1 1 .. .. 3 6 Scarlet Fever .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. Diphtheria (including Membranous Croup) .. .. .. .. .. .. .. .. .. 1 .. .. .. .. .. .. 1 Whooping Cough .. .. .. .. .. .. .. .. 1 .. 1 1 1 1 .. .. 5 Diarrhœal Diseases. Diarrhœa, all forms .. .. 1 1 2 2 3 4 3 4 1 1 2 .. 2 2 26 Enteritis, Muco-enteritis, Uastro-enteritis .. .. .. .. .. 2 1 .. 1 2 .. .. .. 2 .. .. 8 Gastritis, Gastro-intestinal Catarrh .. .. .. .. .. .. 1 1 .. .. .. .. .. .. 1 .. 3 "Wasting Diseases. Premature Birth 23 3 1 .. 27 1 1 .. .. .. .. .. .. .. .. .. 29 Congenital Defects 3 .. 1 .. 4 3 1 .. .. .. .. .. .. .. .. .. 8 Injury at Birth 3 1 .. .. 4 .. .. .. .. .. .. .. .. .. .. .. 4 Want of Breast-milk, Starvation .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. Atrophy, Debility, Marasmus 3 2 6 1 12 6 5 5 3 4 2 3 .. 1 3 44 Tuberculous Diseases. Tuberculous Meningitis .. .. .. .. .. .. .. .. .. .. .. .. .. 1 .. .. 1 Tuberculous Peritonitis: Tabes Mesenteriua .. .. .. .. .. 1 2 .. 1 .. 1 .. .. .. 1 .. 6 Other Tuberculous Diseases .. .. .. .. .. .. .. 1 .. .. .. .. .. .. .. .. 1 Other Causes. Erysipelas .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. Syphilis .. .. .. 1 1 1 .. 1 1 .. .. .. .. .. .. .. 4 Rickets .. .. .. .. .. .. .. .. .. .. .. .. 1 .. 1 1 3 Meningitis (not Tuberculous) .. 2 1 .. 3 .. .. .. .. .. 2 1 .. 1 .. .. 7 Convulsions 1 1 1 .. 3 .. 1 1 1 1 2 1 1 1 2 .. 14 Bronchitis 1 .. 1 2 4 1 1 1 .. l .. .. .. .. .. 2 10 Laryngitis .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. Pneumonia 1 1 1 .. 3 3 2 2 3 3 6 2 1 4 1 .. 30 Suffocation, overlying 1 .. .. .. 1 3 1 1 .. .. .. .. .. .. .. .. 6 Other Causes l .. 2 .. 3 .. •• 1 1 1 .. .. .. 2 .. 8 37 10 15 5 67 24 19 17 15 17 16 10 7 11 13 8 224 Births ill the year legitimate, 1,831 illegitimate, 30 Deaths from all Causes at all Ages, 807 Pomilation. estimated to middle of 1910 54.071 Deaths iu the year of legitimate infants, 209 i illegitimate infants, 15 MILE END DIVISION. TABLE V. Infantile Mortality during the Year 1910. Deaths from stated Causes in Weeks and Months under One Year of Age. Cause of Death. Under 1 Week. 1-2 Weeks. 2 3 Weeks. 3-4 Weeks. Total under 1 Month. 1-2 Months. 2-3 Months. 1-4 Months. 4-5 Months. 5-6 Months. (5-7 Months. 7-8 Months. 8-9 Months. 9-10 Months. 10-11 Months. 11-12 Months. Total Deaths under One Y ear. All Causes. Uertifiecl 55 19 12 15 101 38 26 31 18 27 13 15 27 23 18 18 355 Uncertified •• •• •• •• •• •• •• •• •• •• •• •• .. .. •• •• •• Common Infectious Diseases. Small-pox •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• Chicken-pox •• •• •• •• •• •• •• •• •• •• •• •• •• 1 •• •• 1 Measles •• •• •• •• •• •• •• •• •• 1 2 •• 2 3 1 1 10 Scarlet Fever •• •• •• •• •• •• •• •• •• •• •• •• •• 1 •• •• 1 Diphtheria (including Membranous Croup) •• •• •• •• •• •• •• •• •• •• •• 1 •• . . •• •• 1 Diarrhœal Diseases. Whooping Cough •• •• •• •• •• 3 •• 2 2 2 3 2 3 1 3 2 23 Diarrhœa, all forms •• •• •• 1 1 1 3 6 1 5 1 4 5 4 1 2 34 Enteritis, Muco-enteritis, Gastro-enteritis •• 1 •• •• 1 1 1 2 •• 4 •• •• •• 1 2 1 13 Gastritis, Gastro-intestinal Catarrh •• •• •• •• •• 1 2 •• •• •• •• •• 1 •• •• •• 4 Wasting Diseases. Premature Birth 35 5 2 •• 42 2 •• •• •• •• •• •• •• •• •• •• 44 Congenital Defects 6 2 •• 2 10 3 3 •• •• 1 •• •• •• •• •• •• 17 Injury at Birth 1 1 •• •• 2 •• •• •• •• •• •• •• . . •• •• •• 2 Want of Breast-milk, Starvation •• •• •• •• •• •• •• •• •• •• •• •• •• •• . . •• •• Atrophy, Debility, Marasmus 6 5 5 3 19 9 8 8 9 5 2 •• 1 3 3 •• 67 Tuberculous Diseases. Tuberculous Meningitis . •• •• •• •• •• •• •• •• •• 1 1 1 2 •• •• •• 5 Tuberculous Peritonitis: Tabes Mesenterica •• •• •• •• •• •• 1 1 •• •• •• •• •• •• 1 1 4 Other Tuberculous Diseases •• •• •• •• •• 1 •• •• •• •• •• 1 •• 2 •• •• 5 Other Causes. Erysipelas •• •• •• •• •• •• •• •• •• . . •• •• 1 •• •• •• 1 Syphilis •• 1 •• 2 3 1 1 1 •• •• •• •• •• •• •• •• 6 Rickets •• •• •• •• •• •• •• ••,,•• •• •• 1 2 •• •• •• 1 4 Meningitis (not Tuberculous) •• •• •• 1 1 •• •• •• •• •• •• •• •• •• 1 •• 2 Convulsions 1 2 3 •• 6 2 1 2 3 2 •• 1 •• •• 2 •• 19 Bronchitis •• •• •• 2 2 2 •• 2 •• 2 •• •• 1 •• 2 •• 11 Laryngitis •• •• •• •• •• •• •• 1 •• •• •• •• •• •• •• •• 1 Pneumonia 2 1 •• 2 5 7 1 3 1 2 2 3 10 5 2 10 51 Suffocation, overlying 2 1 1 •• 4 3 4 2 •• 1 •• •• 1 1 •• •• 16 Other Causes 2 •• 1 2 5 2 1 1 1 1 1 •• •• 1 •• •• 13 55 19 12 15 101 38 26 31 18 27 13 15 27 23 18 18 355 legitimate, 3,493 Births in the year Iillegitimate, 60 Deaths from all Causes at all Ages, 1,553 Population, estimated to middle of 1910 120,717 Deaths in the year of legitimate infants, 3:58 illegitimate infants, 17 WHITECHAPEL DIVISION. TABLE V. Infantile Mortality during the Year 1910. Deaths from stated Causes in Weeks and Months under One Year of Age. Cause of Death. Under 1 Week. 1-2 Weeks. 2-3 Weeks. 3-4 Weeks. Total under 1 Month. 1-2 Months. 2-3 Months. 3-4 Months. 4-5 Months. 5-6 Months, 0-7 Months. 7-8 Months. 8-9 Months. 9-10 Months. 10-11 Months. 11-12 Months. Total Deaths under One Y ear. All i Causes. | Certified 52 14 12 9 87 22 16 12 7 10 5 7 14 9 12 14 215 Uncertified •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• Common Infectious Diseases. Small-pox •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• Chicken-pox •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• Measles •• •• •• •• •• •• •• •• •• •• •• 3 •• •• 2 5 10 Scarlet Fever •• •• •• •• •• •• •• •• •• •• 1 •• •• •• •• •• 1 Diphtheria (including Membranous Croup) •• •• •• •• •• •• •• •• •• 1 •• •• •• •• •• 2 3 Whooping Cough •• •• •• •• •• •• •• •• •• •• 1 •• 1 1 •• 5 Diarrhoeal Diseases. Diarrhoea, all forms •• •• •• •• •• 4 3 3 2 2 •• •• 3 1 2 1 21 Enteritis, Muco-enteritis, Castro-enteritis 1 •• •• 2 3 4 1 •• •• •• •• 1 1 •• •• •• 10 Gastritis, Gastro-intestinal Catarrh •• •• •• •• •• •• 1 •• •• •• •• •• •• •• •• •• 1 Wasting Diseases. Premature Birth 26 7 2 3 38 1 •• •• •• •• •• •• •• •• •• •• 39 Congenital Defects 10 2 1 •• 13 1 •• 1 •• •• 1 •• •• •• •• •• 16 Inj ury at Birth 5 •• •• •• 5 •• •• •• •• •• •• •• •• •• •• •• 5 Want of Breast-milk, Starvation •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• Atrophy, Debility, Marasmus 6 1 7 3 17 3 1 1 •• •• 2 1 •• 1 •• •• 26 Tuberculous Diseases. Tuberculous Meningitis •• •• •• .. •• •• •• •• •• •• •• •• 2 •• •• •• 2 Tuberculous Peritonitis: Tabes Mesenterica •• •• •• •• •• •• •• •• •• •• •• •• •• •• 1 •• 1 Other Tuberculous Diseases •• •• •• •• •• •• •• •• •• •• •• •• 1 •• •• •• 1 Other Causes. Erysipelas •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• 1 Syphilis . •• 1 •• .. 1 •• 2 •• •• •• •• •• •• •• •• •• 3 Rickets •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• •• Meningitis (not Tuberculous) 1 •• •• •• 1 •• •• •• 1 1 •• •• •• •• 1 •• 4 Convulsions 2 1 1 •• 4 2 •• 3 •• 2 •• 1 1 •• •• •• 13 Bronchitis •• •• •• 1 1 3 2 1 •• •• •• •• 1 3 •• 2 13 Laryngitis •• •• •• •• •• •• •• •• •• •• •• •• •• 1 1 •• 2 Pneumonia •• •• •• •• •• 1 5 •• 3 2 •• 1 4 2 2 2 22 Suffocation, overlying •• 1 1 1 2 1 •• 1 •• •• •• •• •• •• •• •• 4 Other Causes 1 1 •• •• 2 1 1 2 1 2 •• •• •• •• 1 2 12 52 14 12 9 87 22 16 12 7 10 5 7 14 9 12 14 215 Birtlis in tlie .year legitimate, 1,887 illegitimate. 65 Deaths from all Causes at all Ages, 1,010 Population, estimated to middle of 1909 .82,017 Peaths in the year of legitimate infants, 198 Iillegitimate infants, 17 89 LIST OF STREETS in the Borough of Stepney, their situation and the number of Infectious Diseases that occurred in them during the year. Streets. Districts. Small Pox. Scarlet Fever. Typhoid Fever. Diphtheria. Membianous Croup. Erysipelas. Total. A Abbott's Cottages Limehouse .. .. .. .. .. .. .. Abel's Buildings Whitechapel .. .. .. .. .. .. .. Acland Street Limehouse .. .. .. .. .. 1 1 Adelaide Place Spitalfields .. .. .. .. .. .. .. Adelina Grove Mile Eud .. .. .. 1 .. .. 1 Agatha Street St. George's .. .. .. 1 .. .. 1 Agnes Street Limehouse .. .. .. .. .. .. .. Agra Place St. George's .. .. .. .. .. .. .. Albany Street Ratcliff and Mile End .. .. .. .. .. .. .. Albert Buildings, Cartwright Street Aldgate .. .. .. .. .. .. .. Albert Cottage, Albert Street Mile End .. .. .. .. .. .. .. Albert Square Ratcliff .. .. .. .. .. .. .. Albert Street Buildings Shadwell .. .. .. .. .. .. .. Albion Cottages Shadwell .. .. .. .. .. .. .. Albion Street Mile End .. .. .. .. .. .. .. Albion Terrace Limehouse .. .. .. .. .. .. .. Alderney Place Mile End .. .. .. .. .. .. .. Aldernoy Road Mile End .. .. .. .. .. .. .. Albert Street Mile End New Town .. .. .. .. .. .. .. Albion Court, Redman's Road Mile Eud .. .. .. .. .. .. .. Albert Workshop Great Pearl Street, Spitalfields .. .. .. .. .. .. .. Arbour Square Mile End .. .. .. 1 .. 1 2 Alexander Buildings, Commercial Street Spitalfields .. .. .. .. .. .. Alfred Buildings, Cartwright Street Aldgate .. .. .. .. .. .. .. Alie Place Whitecliapel .. .. .. .. .. .. .. Alma Road Mile End .. 2 .. 1 .. .. 3 Amber Place St. George's .. .. .. .. .. .. .. Amoy Place Limehouse .. .. .. .. .. .. .. Anchor Street Limehouse .. .. .. .. .. .. .. Angel Alley Whitechapel .. .. .. .. .. .. .. Ann Street Ratcliff .. .. 5 3 .. .. 8 Ann Street Mile End .. 1 .. .. .. 2 3 Ann's Place, Wentworth Street Spitalfields .. .. .. .. .. .. .. Antcliff Street Mile End .. 1 .. .. .. 1 2 Anthony Street St. George's .. 4 .. 1 .. .. 5 Argj'le Road Mile End .. .. .. .. .. .. .. Arno Place Limehouse .. .. .. .. .. .. .. Antili Road Mile End .. 2 .. .. .. .. .. Artillery Lane Spitalfields and Old Artillery Ground .. 1 .. .. .. .. .. Artillery Passage Ditto .. .. .. .. .. .. .. G 90 Returns of Infectious Diseases.— continued. Streets. Districts. Small Pox. Scarlet Fever. Typhoid Fever Diphtheria. Membranous Croup. Erysipelas. Total. Artichoke Hill St. George's .. .. .. .. .. .. .. Ashcroft Road Mile End .. .. .. .. .. .. .. Assembly Mews Mile End .. .. .. .. .. .. .. Assembly Passage Mile End .. .. .. .. .. .. .. Assam Street Whitechapel .. .. .. 1 .. .. 1 Aston Street Limehouse .. 3 .. .. .. .. 3 Ashford House, Puma Court Spitalfields .. .. .. .. .. .. .. Augustine House Mile End New Town .. .. .. .. .. .. .. Apsley Street Mile End .. .. .. .. .. .. .. Antili Terrace Mile End .. 1 .. .. .. .. 1 Arbery Road Mile End .. 1 .. .. .. .. 1 B Back Cliurcli Lane Whitechapel and St. George's .. .. .. 2 .. .. 2 Baggally Street Mile End .. .. .. .. .. .. .. Baker Court Mile End .. .. .. .. .. .. .. Baker Street Mile End .. .. .. 1 .. .. 1 Bale Street Mile End .. 3 .. .. .. .. 3 Balls Buildings Ratcliff .. .. .. .. .. .. .. Bancroft Road Mile End .. 1 . . 1 .. 2 4 Barnes Street Ratcliff .. 7 .. .. .. .. 7 Barnett Street St. George's .. .. .. .. .. .. .. Batson Street Limhouse .. .. .. .. .. 1 1 Batty Gardens St. George's .. .. .. .. .. .. .. Batty Street St. George's .. .. .. .. .. 1 1 Bavthorne Street Mile End .. .. .. .. .. .. .. Beachcroft Buildings, Brook Street Ratcliff .. .. .. .. .. 2 2 Beagle Street Whitechapel .. .. .. .. .. .. .. Beard's Place Limehouse .. .. .. .. .. .. .. Beaumont Square Mile End .. .. .. .. .. .. .. Beaumont Street Mile End .. .. .. .. .. .. .. Beccles Street Limehouse .. .. .. 1 .. .. 1 Becksbourne Buildings Ratcliff .. .. .. .. .. .. .. Bedford Street Mile End .. 6 .. 7 .. 3 16 Belgrave Street Ratcliff .. 1 .. .. .. 1 2 Bell Court Spitalfields .. .. .. .. .. .. .. Bell Lane Spitalfields .. .. .. .. .. 1 1 Bennett's Place Spitalfields .. .. .. .. .. .. .. Ben Jonson Road Limehouse and Milo End .. 1 .. .. .. .. 1 Bere Street Ratcliff .. .. .. .. .. .. .. Bermuda Street Mile End .. 2 .. .. .. .. 2 Bemer Street St. George's .. .. .. 1 .. 1 2 91 Returns of Infectious Diseases.—continued. Streets. Districts. Small Pox. - Scarlet Fever. Typhoid Fever Diphtheria. M embranous Croup. Erysipelas. Total. Rerney Buildings.. St. George's .. .. 1 .. .. 2 3 Bett Street St. George's .. .. .. .. .. .. .. Bewley Buildings Shadwell .. 1 .. 1 .. .. .. Birchfield Street Limehouse .. .. .. .. .. .. .. Bird Street St. George's .. .. .. .. .. .. .. Black Bull Court Ratcliff .. .. .. .. .. .. .. Bellevue Place, Cleveland Street Mile End .. .. .. .. .. .. .. Black Eagle Street Spitalfields .. .. .. .. .. .. .. Black Lion Yard Whitechapel .. 1 .. .. .. .. 1 Blackwall Buildings, Thomas Street Whitechapel .. 2 1 1 .. 2 6 Blakesley Street St. George's .. 2 .. .. .. 2 .. Bloomfield Road Mile End .. .. .. .. .. 1 1 Blossom Court Norton Folgate .. .. .. 1 .. .. 1 Blossom Street Norton Folgate .. .. .. 1 .. .. 1 Blount Street Limehouse .. .. .. 1 .. .. 1 Boarded Entry St. George's .. .. .. 1 .. .. 1 Boar's Head Yard Whitechapel .. .. .. .. .. .. .. Bolin Street Mile End .. .. .. .. .. .. .. Booth Street Spitalfields and Mile End New Town .. 1 .. .. .. .. 1 Bootb Street Buildings Spitalfields .. .. .. .. .. .. .. Bostock Street St. George's .. .. .. .. .. .. .. Boundary Court Spitalfields aud Mile End New Town .. 1 .. .. .. .. 1 Bow Common Lane Mile End and Limehouse .. 3 .. .. .. .. 3 Bower Street Ratcliff .. .. .. .. .. 1 1 Bowyer's Buildings St. George's .. .. .. .. .. .. .. Boyd Street St. George's .. .. .. .. .. 1 1 Brad well Street Mile End .. .. .. .. .. .. .. Brady Street Whitechapel .. .. 1 .. .. .. 1 Brudy Street Buildings Whitechapel .. 3 .. 1 1 3 8 Brady Street Mansions Whitechapel .. .. .. .. .. 1 1 Breezer's Hill St. George's .. .. .. .. .. .. .. Brenton Street Limehouse .. 1 2 .. .. 2 5 Brewer's Court Shadwell .. .. .. .. .. .. .. Brewhouse Court Wapping .. .. .. .. .. .. .. Brewhouse Lane Wapping .. .. .. .. .. .. .. Brick Lane Spitalfields and Whitechapel .. 1 .. 2 .. 1 4 Bridge Street Mile End .. 5 .. 2 .. 4 11 Bridge Terrace Limehouse .. .. .. .. .. .. .. Brightlingsea Buildings Ratcliff .. 1 .. .. .. 1 2 Britton's Court St. George's .. .. .. .. .. .. .. Brilliant Street Mile End .. .. .. .. .. .. .. G 2 92 Returns of Infectious Diseases.— continued. Streets. Districts. Small Pox. Scarlet Fever. Typhoid Fever Diphtheria. Membranous Croup. Erysipelas. Total. Broad Street Ratcliff .. .. .. .. .. 1 1 Bromhead Road Mile End .. .. .. .. .. .. .. Bromhead Street Mile End .. .. .. 1 .. .. 1 Bromley Street Ratcliff .. 2 .. 1 .. 1 4 Brook Street Ratcliff .. 2 1 1 1 1 6 Browning's Court St. George's .. .. .. .. .. .. .. Brownson's Court. Great Alie Street WLitechapel .. .. .. .. .. .. .. Brunswick Buildings, Goulston Street Whitecliapel .. .. .. .. .. 1 1 Brunswick Place Ratcliff .. .. .. .. .. .. .. Brunswick Street Si. George's .. 1 .. .. .. .. 1 Brunton's Cottages Ratcliff .. .. .. .. .. .. .. Brunton's Place Ratcliff .. .. .. .. .. .. .. Brushfield Street Spitalfields and Old Artillery Ground .. .. .. .. .. .. .. Buckeridge Street Mile End .. .. 2 1 .. .. 3 Buckle Street Whitecliapel .. .. .. .. .. .. .. Buckle Street Buildings Whitecliapel .. .. .. .. .. .. .. Bull Court Whitecliapel .. .. .. .. .. .. .. Hull Stake Court Whitecliapel .. .. .. .. .. .. .. Bulwer House, Pelliam Street Whitecliapel .. .. .. .. .. .. .. Burdett Road Limeliouse and Mile End .. 3 1 4 .. 4 12 Burgess Street Limeliouse .. .. .. .. .. .. .. Buross Street St. George's .. 3 .. 4 .. .. 7 Buir Street Whitechapel .. .. .. .. .. .. .. Burslem Street St. George's .. .. .. .. .. .. .. Burt m's Entry Ratcliff .. .. .. .. .. .. .. Bushel Street St. George's .. .. .. .. .. .. .. Butcher Row Ratcliff .. 1 .. .. .. .. 1 Butler Street Spitalfields .. .. .. .. .. .. .. Buttress Gardens.. Mile End New Town .. .. .. .. .. .. .. Buttress Street Mile End New Town .. .. .. .. .. .. .. Buxton Street Mile End New Town .. 3 .. 1 .. 1 5 C Cable Street Shad well and St. George's .. 7 1 5 .. 2 15 Cadiz Street Mile End .. .. .. 2 .. 2 4 Calverley Street Mile End .. .. .. .. .. .. .. Cambridge Read Mile End .. 2 .. .. .. .. 2 Cambridge Mansions Mile End .. .. .. .. .. .. .. 93 Returns of Infectious Diseases.—continued. Streets. Districts. Small Pox. Scarlet Fever. Typhoid Fever Diphtheria. SI embratious Croup. Erysipelas. Total.[/##] Cameron Place Mile End .. .. .. .. .. .. .. Canal Road Mile End .. 4 .. .. .. 3 7 Cannon Place Mile End and Whitechapel .. .. .. .. .. .. .. Carlton Road Mile End .. .. .. 1 .. .. 1 Carlton Square Mile End .. .. .. .. .. .. .. Carter Street Mile End .. .. 2 .. .. .. 2 Carter Street Spitalfields .. .. .. .. .. .. .. Caroline Place Limehouse .. .. .. .. .. .. .. Caroline Street Ratcliff .. 2 .. 2 .. .. 4 Carrick's Buildings Limehouse .. .. .. .. .. .. .. Carr Street Limehouse .. 2 .. .. .. 1 3 Cartwright Street Whitechapel .. .. .. .. .. .. .. Casson Street Whitechapel .. 1 .. .. .. 1 2 Castle Court Whitechapel .. .. .. .. .. .. .. Catherine Terrace Whitechapel .. .. .. .. .. .. .. Causeway Court Ratcliff .. .. .. .. .. .. .. Cayley Street Limehouse .. .. .. 1 .. .. 1 Cecil Street Mile End .. 1 .. .. .. .. 1 Cephas Street Mile End .. 4 1 1 .. .. 6 Caroline Place, Glohe Road Mile End .. .. .. .. .. .. .. Cannon Street Road St. George's .. 3 .. 2 .. 2 7 Challis Court St. George's .. .. .. .. .. 1 1 Chamber Court Whitechapel .. .. .. .. .. .. .. Chamber Square Wapping .. .. .. .. .. .. .. Chamber Street Whitechapel .. 1 .. .. .. .. 1 Chancery Place Shadwell .. .. .. .. .. .. .. Chancery Buildings Shadwell .. .. .. .. .. .. .. Chandler Street St. George's .. .. .. .. .. .. .. Chapel Place Norton Folgate .. 1 .. .. .. .. 1 Chapel Place Mile End .. 1 .. .. .. .. 1 Chapel Street Spitalfields .. .. .. .. .. 1 1 Chapman Place St. George's .. .. .. 1 .. .. 1 Charles Place Shadwell .. .. .. .. .. .. .. Charlotte Court, Hunt Street Mile End New Town .. .. .. .. .. .. .. Charles Street Mile End .. 1 2 1 .. 3 7 Chaseley Street Ratcliff .. .. 1 .. .. .. 1 Chiuksand Street Mile End New Town .. 1 .. 1 .. 2 4 Chick sand Place Mile End New Town .. .. .. .. .. 1 1 Chigwell Hill St. George's .. .. .. .. .. .. .. Chiver's Court Limehouse .. .. .. .. .. .. .. Christian Street St. George's .. 2 2 4 .. 3 11 Choppin's Court .. .. .. .. .. .. .. Christopher Court St. George's .. .. .. .. .. .. .. Church Court Wapping .. .. .. .. .. .. .. Church Lane Whitechapel .. 1 .. .. .. .. 1 94 Returns of Infectious Diseases.—continued. Streets. Districts. Small Pox. Scarlet Fever. Typhoid Fever Diphtheria. Membranous Croup. Erysipelas. Total. Church Passage Spitalfields .. 1 .. .. .. .. 1 Church Row Limehouse .. 3 • • 3 .. .. 6 Church Street Holy Trinity .. .. .. .. .. .. .. Church Street Wapping .. .. .. .. .. .. .. Cliusan Place Limehouse .. .. .. .. .. .. .. Claremont Place Mile End .. 3 2 1 .. 2 8 Ciark Street Mile End .. 3 2 1 .. 2 8 Clayden's Buildings Limehouse .. .. .. .. .. .. .. Clegg Street St. George's .. .. .. .. .. .. 1 Clemeuce Street Limehouse .. 1 .. .. .. 1 3 Cleveland Grove Mile End .. 3 .. .. .. 1 4 Cholsey Buildings, Boot Street Spitalfields .. .. .. .. .. .. .. Church Street Mile End New Town .. .. .. .. .. .. .. Clinton House, Pelhan Street Mile End New Town .. .. .. .. .. .. .. Cleveland Street Mile End .. .. .. 1 .. .. 1 Cleveland Buildings Mile End .. .. .. 1 .. .. 1 Clinton Road Mile End .. .. .. .. .. .. .. Clive Street Mile End .. .. .. .. .. .. .. Clifford House, Wellclose Square St. George's .. .. .. .. .. .. .. Cobbs Street Whitechapel .. .. .. .. .. .. .. Coborn Road Mile End .. 1 .. .. .. .. 1 Coburg Court Spitalfields .. 1 .. .. .. .. 1 Coburg Buddings St. George's .. .. .. .. .. .. .. Coburg Place Mile End .. .. .. .. .. .. .. Cohen's Court Mile End .. .. .. .. .. .. 1 Coke Street Mile End .. .. .. .. .. .. 1 Colchester Street Whitechapel .. .. .. .. .. .. .. Coleman Street Shadwell .. .. .. .. .. .. .. College Buildings, Went worth. Street Whitechapel .. .. .. .. .. .. .. College Street Mile End .. .. .. .. .. .. .. Collhurst Villas, Devonshire Street Mile End .. .. .. .. .. .. .. Collingwood Street Ratcliff .. .. .. .. .. .. .. Colmar Street Mile End .. .. .. .. .. .. .. Cologne Street Mile End .. .. .. 1 .. 1 2 Commercial Mansions Mile End .. .. .. .. .. .. .. Commercial Road Whitechapel, St George's, Mile End, Limehouse .. 5 .. 5 .. 3 13 Commercial Street Whitechapel and Spitalfields .. .. .. .. .. 2 2 Commodore Street Mile End .. .. .. 1 .. .. 1 Conder Street Limehouse .. 2 .. .. .. .. 2 Copenhagen Place Limehouse .. 1 .. .. .. .. 1 95 Returns of Infectious Diseases.—continued. Streets. Districts. Small Pox. Scarlet Fever. Typhoid Fever Diphtheria. Membranous Croup. Erysipelas. Total. Copley Street Mile End .. .. .. .. .. .. .. Copos Buildings Limehouse .. .. .. .. .. .. .. Copperfield Road Mile End .. .. .. 1 .. .. 1 Corbett's Court Whitechapel .. 1 .. .. .. 1 2 Cordelia Street Mile End .. .. .. .. .. .. .. Cornwall Place Mile End .. .. .. .. .. .. .. Cornwall Road Mile End .. .. .. .. .. .. .. Cornwall Square Mile End .. 1 .. .. .. .. 1 Cornwall Street St. George's .. 2 .. .. .. 2 4 Cosh's Buildings, Dunstan's Place, Brook Street Ratcliff .. .. .. .. .. .. .. Cosh's Buildings, School House Lane Mile End .. .. .. .. .. .. .. Cottage Court Mile End .. .. .. .. .. .. .. Cottage Grove Mile End .. 1 .. .. .. 1 2 Cotton Street Whitechapel .. .. .. 1 .. .. 1 Court Street Whitechapel .. .. .. .. .. .. .. Coutts Road Mile End .. .. .. 2 .. 1 3 Cowley Street St. George's .. 1 .. 1 .. .. 2 Coy Square Mile End .. .. .. .. .. .. .. Cranford Cottage Ratcliff .. .. .. .. .. .. .. Crellin Street St. George's .. 2 .. 2 .. .. 4 Cressy Houses Mile End .. 1 .. 2 .. 2 5 Cressy Place Mile End .. .. .. .. .. .. .. Crispin Street Spitalfields .. 1 .. .. .. 1 2 Cross Street Whitechapel .. .. .. .. .. .. .. Cross Street St. George's .. .. .. .. .. .. .. Cross Street Ratcliff .. .. .. .. .. .. .. Crown Court Spitalfields .. .. .. .. .. .. .. Crown Street Spitalfields .. .. .. .. .. .. .. Cross Court, Dean Street St. George's .. 1 .. .. .. .. 1 D Dalgleish Place Limehouse .. .. .. .. .. .. .. Dalgleish Street Limehouse .. .. .. .. .. .. .. Dakin Street Limehouse .. .. .. .. .. .. .. Darby Street Whitechapel .. .. .. .. .. .. .. Davis Avenue, Hunt Street Mile End New Town .. 1 .. .. .. .. 1 Davis Mansions, New Goulston Street Whitechapel .. .. .. 4 .. 1 5 Davis Terrace, Hunt Street Mile End New Town .. .. .. .. .. .. .. Davis Houses, Philip Street St. George's .. .. .. .. .. .. .. 96 Returns of Infectious Diseases.—continued. Streets. Districts. Small Pox. Scarlet Fever. Typhoid Fever Diphtheria. Membranous Croup. Erysipelas. Total. Davis Buildings, Myrdle .. .. .. .. .. .. .. Street Mile End .. .. .. .. .. .. .. Deal Street Whitechapel .. 1 .. .. .. .. 1 Dean Street St. George's .. .. .. .. .. .. .. Dellow Street Shadwell .. .. .. .. .. .. .. Dellow Street Buildings Shadwell .. .. .. 2 .. .. 3 Dempsey Street Mile End .. .. .. 1 .. .. 1 Denmark Street St. George's .. .. .. .. .. .. 3 Devonport Street Ratcliff .. .. .. .. .. .. .. Devonshire Place Limehouse .. .. .. .. .. .. .. Devonshire Street Mile End .. 3 .. 2 .. 4 9 Diggon Street Mile End .. .. .. .. .. .. .. Dixon Street Limehouse .. .. .. .. .. .. .. Dock Street Whitecliapel and Wapping .. 1 .. .. .. .. 1 Dod Street Limehouse .. .. .. .. .. .. .. Dora Street Limehouse .. .. .. .. .. .. .. Dongola Street Mile End .. .. .. .. .. .. .. Doris House St. George's .. .. .. .. .. .. .. Dorset Street Ratcliff .. .. .. .. .. .. .. Doveton Street Mile End .. .. .. .. .. .. .. Drew's Buildings, Juniper Street Shadwell .. .. .. .. .. .. .. Drew's Buildings, High Street Shadwell .. .. .. .. .. .. .. Drew's Building, Elhow Lane Shadwell .. .. .. .. .. .. .. Drewton Street Ratcliff .. .. .. .. .. .. .. Driver's Buildings Mile End .. .. .. .. .. .. .. Drum Yard Whitechapel .. .. .. .. .. .. .. Duckett Street Mile End .. .. .. .. .. .. .. Dudloy Terrace Mile End .. .. .. .. .. .. .. Duke Shore Alley Limehouse .. .. .. .. .. .. .. Duke Street Old Artillerv Ground .. .. .. .. .. .. .. Duncan Street Whitechapel .. .. .. .. .. .. .. Dundee Street Wapping .. .. .. .. .. 2 2 Dunk Street Mile End New Town .. 1 .. 1 .. .. 2 Dunstan's House Mile End .. .. .. .. .. .. .. Dupont Street Limehouse .. 1 .. .. .. .. 1 Durer Plane St. George's .. .. .. .. .. .. .. Dunstan's Place Ratcliff .. .. .. 4 .. 2 6 Durham Row Ratcliff .. .. .. .. .. .. .. Durward Street Whitechapel .. 3 .. 1 .. .. 4 Duval Street Spitalfields .. .. .. .. .. 8 8 97 Returns of Infectious Diseases.— continued. Streets. Districts. Small Pox. Scarlet Fever. Typhoid Fever Diphtheria. Membranous Croup. Erysipelas. Total. E East Arbour Street Mile End .. .. .. .. .. .. .. Eagle Buildings Limehouse .. .. .. .. .. .. .. Eagle Place Mile End New Town .. .. .. .. .. .. .. Eagle Place Mile End .. .. .. .. .. .. .. Eele Street, King Edward Street Mile End New Town .. 1 .. .. .. .. 1 Easington Buildings Whitechapel .. .. .. .. .. .. .. Eastburj Terrace Mile End .. .. .. .. .. .. .. East field Street Limehouse .. 3 2 1 .. .. 6 East India Dock Road Limehouse .. 1 .. .. .. .. 1 Eastman's Court Spitalfields .. .. .. .. .. .. .. East Mount Street Whitechapel .. .. .. .. .. .. .. East Pier Wapping .. .. .. .. .. .. .. East Smithfield Wapping .. .. .. .. .. .. .. Eaton Place Mile End .. .. .. .. .. .. .. Ebenezer Place Limehouse .. .. .. 1 .. .. 1 Edinburgh Road Mile End .. .. .. 1 .. .. 1 Edward's Road Mile End .. 4 7 .. .. .. 11 Edward Street Mile End .. .. 1 .. .. .. 1 Edward Mann Buildings. Limehouse .. .. .. .. .. .. .. Elbow Lane Shadwell .. .. .. .. .. .. .. Elbow J.ane Buildings Shadwell .. 1 .. .. .. .. 1 Elder Court Norton Folgate .. .. .. .. .. .. .. Eldor Streot Norton Folgate .. .. .. .. .. .. .. Elizabeth Cottages St. George's .. .. .. .. .. .. .. Elizabeth Place Limehouse .. .. .. .. .. .. .. Elizabeth Place Whitechapel .. .. .. .. .. 1 1 Ellen Court St. George's .. .. .. .. .. .. .. Ellen Place St. George's .. .. 1 .. .. .. 1 Ellen Street St. George's .. .. .. 1 .. .. 1 Elm Row Shadwell .. .. .. .. .. .. .. Elsa Street Limehouse .. 2 2 .. .. 2 6 Elsie House St. George .. .. .. .. .. .. .. Eltham Place Mile End .. .. .. .. .. .. .. Ely Place Whitechapel .. 2 .. .. .. .. 2 Ely Terrace Mile End .. .. .. .. .. 2 2 Emanuel's Almshouses Wapping .. .. .. .. .. .. .. Emery PI ice, Butler Street Spitalfields .. .. .. .. .. .. .. Emmot Street Mile End .. .. .. .. .. 1 1 Endive Street Limehouso .. .. .. .. .. 1 1 Entick Street Mile End .. .. .. .. .. .. .. Eric Street Mile End .. 2 .. .. .. 2 4 Ernest Street Mile End .. .. 1 1 .. 1 3 Essex Street Mile End .. .. .. .. .. 1 1 98 Returns of Infectious Diseases.—continued. Streets. Districts. Small Pox. Scarlet Fever. Typhoid Fever Diphtheria. MeinbraDous Croup. Erysipelas. Total. Essian Street Mile End .. .. .. .. .. .. .. Everard Street St. George's .. .. .. .. .. .. .. Ewing Street Mile End .. 1 .. .. .. .. 1 Exmouth Street Mile End .. 1 .. 1 .. 1 3 F Fair Street Mile End .. .. .. .. .. .. .. Fairclough Street St. George's .. .. .. 1 .. 1 2 Faith Street Mile End .. .. .. .. .. .. .. Farmer's Row Limehouse .. .. .. .. .. .. .. Farrance Street Limehouse .. 1 .. .. .. 1 2 Fashion Court Spitalfields .. .. .. 1 .. .. 1 Fashion Street Spitalfields .. 2 .. .. .. .. 2 Felix Houses St. George's .. .. .. 1 .. .. 1 Fenton Street St. George's .. 2 .. 2 .. 2 6 Ferrier's Court Mile End .. 1 .. .. .. .. 1 Fieklin Buildings St. George's .. 1 .. .. .. .. 1 Fieldgate Street Whitechapel .. 3 1 1 .. 7 12 Fieldgate Mansions Mile End .. .. .. .. .. 2 2 Finch Street Wliitechapel and Mile End New Town .. .. .. 2 1 1 4 Five Bell Alley Limehouse .. .. .. .. .. .. .. Fliimborough Street Limehouse .. .. .. .. .. .. .. Fleur-de-lis Buildings Norton Folgate .. .. .. .. .. .. .. Fleur-de-lis Street Norton Folgate .. .. .. .. .. .. .. Floreston Street Mile End .. 2 .. .. .. 1 3 Flower and Dean Street. Spitalfields .. .. .. .. .. 4 4 Ford Square Mile End .. .. .. .. .. .. .. Fordham Street Mile End .. .. .. .. .. .. .. Forrester Street Mile End .. .. .. .. .. .. .. Fort Street Old Artillery Ground .. .. .. .. .. 2 2 Fournier Street Spitalfields .. .. .. .. .. .. .. Frederick Place Mile End .. .. .. .. .. 1 1 Freeman Street Spitalfields .. .. .. .. .. .. .. Freeman's Cottages Mile End .. .. .. .. .. .. .. French Court St George's .. .. .. .. .. .. .. Friar's Hill St. George's .. .. .. .. .. .. .. Frimley Street Mile End .. .. .. 1 .. 1 Frostic Mansions Whitechapel .. .. .. .. .. .. .. Frostic Place Whitechapel .. .. .. .. .. .. .. Frying Pan Alley Spitalfields .. .. .. .. .. .. .. Fulbourne Street Whitechapel .. 1 .. .. .. .. 1 Fulcher's Buildings Mile End .. .. .. .. .. .. .. 99 Returns of Infectious Diseases.— continued. Streets. Districts. Small Pox. Scarlet Fever. Typhoid Fever Diphtheria. Membranous Croup. Erysipelas. Total. G Garden Street, Smith Place Mile End .. .. .. .. .. .. .. Gainsborough Road Mile End .. .. .. .. .. .. .. Gait Street Limehouse .. .. .. .. .. 1 1 Garden Cottages Limehouse .. .. .. .... .. .. .. Garden Place Mile End New Town .. 1 .. .. .. .. 1 Gardom Street Mile End .. .. .. .. .. 1 1 Garden Street Mile End .. 1 .. .. .. .. 1 Garth Street Shadwell .. .. .. .. .. .. .. Gates Head Place Mile End .. .. .. .. .. .. .. George Court Whitechapel .. .. .. .. .. .. .. George Place Ratcliff .. • • .. .. .. .. .. George Place Mile End .. .. .. .. .. .. .. George Street Ratcliff .. .. .. .. .. 1 1 George Street, Tower Hill Aldgate .. .. .. .. .. .. .. George Yard Whitechapel .. 1 .. .. .. .. 1 Georgina Place Mile End .. .. .. .. .. .. 1 Getrude House St. George's .. .. .. .. .. .. .. Giles Place Ratcliff .. .. .. 1 .. .. 1 Gill Street Limehouse .. .. .. 1 .. .. l Gill Place Limehouse .. .. .. .. .. .. .. Glamis Road Shadwell .. 5 .. 7 .. .. 12 Grace's Alley Whitechapel .. .. .. .. .. .. .. Glasshouse Buildings , Whitechapel .. .. .. .. .. .. .. Glasshouse Fields Ratcliff .. .. .. .. .. .. .. Glasshouse Street.. Whitechapel .. .. .. .. .... .. .. Globe Alley Limehouse .. .. .. .. .. .. .. Globe Buildings Mile End .. .. .. .. .. .. .. Globe Place St. George's .. .. .. .. .. .. .. Globe Road Mile End .. .. .. .. .. .. .. Globe Street St. George's .. .. .. .. .. .. .. Gloucester Court Limehouse .. .. .. .. .. .. .. Gloucester BuildiDgs St. George's .. .. .. .. .. .. .. Gloucester Court Mile End .. .. .. .. .. .. .. Godfrey House, Thrawl Street Spitalfields .. .. .. .. .. .. .. Gold Street Mile End .. .. .. .. .. .. .. Goodhart Place St. George's .. .. .. .. .. .. .. Goodman's Stile Whitechapel .. .. .. .. .. .. .. Goodman's Yard Whitechapel .. .. .. .. .. .. .. Gould's Hill Shadwell .. .. .. .. .. .. .. Goulston Street Whitechapel .. .. .. .. .. .. .. Govey's Place Mile End .. .. .. .. .. .. .. Grower's Walk Whitechapel .. .. .. 1 .. .. 2 Grafton Street Mile End .. 2 .. 1 .. .. 3 Gray Street Mile End .. .. • • .. .. .. 100 Returns of Infectious Diseases.— continued. Streets. Districts. Small Pox. 1 Scarlet Fever. Typhoid Fever ' Diphtheria. Membranous Croup. Erysipelas. Total. Green Bank Wapping and St. George's .. .. .. .. .. .. .. Green Drngon Yard Whitechapel .. .. .. .. .. .. .. Green Street Ratcliff .. 1 .. .. .. .. 1 Greenfield street Mile End .. 1 .. 1 .. 2 4 Green's Place Whitechapel and Mile End New Town .. .. .. .. .. .. .. Greenwood Street Mile End .. .. .. .. .. .. .. Grebe Court Mile End .. .. .. .. .. .. .. Grenade Street Limehouse .. .. .. 1 .. .. 1 Grey Eagle Street Spitalfields .. .. .. l .. .. 1 Grigg's Court Whitechapel .. .. .. .. .. .. .. Grocer's Court Wapping .. .. .. .. .. .. .. Grove Cottages Mile End .. .. .. .. .. .. .. Grove Court Ratcliff .. .. .. 1 .. .. 1 Grove Place St. George's .. .. .. .. .. .. .. Grove Road Mile End .. 1 1 1 .. .. 3 Green Street Whitechapel .. .. .. .. .. .. .. Great Tower Hill Aldgate .. .. .. .. .. .. .. Grosvenor Street Mile Enu .. 4 .. .. .. .. 4 Grove Street St. George's .. 3 .. 9 .. .. 8 Great Alie Street Whitechapel .. .. .. .. .. .. .. Great Eastern Buildings, Quaker Street Spitalfields .. 1 .. .. .. 1 2 Great Garden Street Whitechapel .. 4 .. .. .. 2 6 Great Hermitage Street St. George's .. 1 .. .. .. .. 1 Great Pearl Street Spitalfields .. .. .. .. .. 1 1 Great Prescot Street Whitechapel .. .. .. .. .. l 3 Gun Squaie Limehouse .. .. .. .. .. .. .. Gun Street Old Artillery Ground .. .. .. .. .. 3 3 Great Eastern Buildings, Fieldgate Street Whitechapel .. .. .. .. .. .. .. H Half Moon Passage Whitechapel .. .. .. .. .. 1 1 Half Wilk Court Spitalfields .. .. .. .. .. .. .. Hall Street Mile End .. .. .. .. .. .. .. Halley Street Limehouse .. 1 1 1 .. 1 4 Hampshire Court Mile End .. .. .. .. .. .. .. II anbury Fields Spitalfields .. .. .. .. .. .. .. Hanbury Street Spitalfields and Mile End New Town .. 8 .. 3 .. 12 23 Hannibal Mews Mile End .. .. .. .. .. .. .. Hannibal Road Mile End .. 1 .. .. .. .. 1 Hanover Court Whitechapel .. .. .. .. .. .. .. Harding Street Ratcliff .. .. .. .. .. .. .. Hardy's Place Mile End .. .. .. .. .. .. .. Hare Street Mile End .. .. .. .. .. .. .. 101 Returns of Infectious Diseases.—continued. Streets. Districts. Small Pox. Scarlet Fever. Typhoid Fever Diphtheria. Membranous Croup. Erysipelas. Total. Harford Street Mile End .. 2 1 2 .. .. 5 Harlow Place Mile End .. .. .. .. .. .. .. Harriet Place Spitalfields .. .. .. .. .. .. .. Harrisod's Court Spitalfields .. .. .. .. .. .. .. Harris Terrace St. George's .. .. 1 .. .. .. 1 Harold Alley Wapping .. .. .. .. .. .. .. Havering Street Ratcliff .. 1 .. 1 .. .. 2 Hawkins Street Mile End .. 2 .. .. .. 1 3 Haydon Street Holy Trinity .. .. .. .. .. .. .. Haydou Square Holy Trinity .. .. .. .. .. .. .. Harod's Place Whitechapel .. .. .. .. .. .. .. Harod's Alley Whitechapel .. .. .. .. .. .. .. Harriet Court Whitechapel .. .. .. .. .. .. .. Hayfield Passage Mile End .. .. .. .. .. .. .. Hayfield Place Mile End .. 1 .. .. .. .. 1 Hayfield Yard Mile End .. .. .. .. .. .. .. Heath Street Mile End .. 2 .. .. .. 4 6 Heckford Street Limehouse .. 2 .. .. .. .. 2 Helena House, Lolesworth Street Spitalfields .. .. .. .. .. 1 1 Helena Terrace, Chicksand Street Spitalfields and Whitechapel .. .. .. .. .. .. .. Hellings Street St. George's .. .. .. .. .. .. .. Heneage Street Whitechapel and Mile End New Town .. 4 .. .. .. 3 7 Hessel Street St. George's .. 1 .. 1 .. 1 3 Hewitt's Court Mile End .. .. .. .. .. .. .. High Street Shadwell .. .. .. 2 .. 2 4 High Street Wapping .. 1 .. .. .. 1 2 High Street Ratcliff .. .. .. .. .. .. .. Hilliard's Court St. George's .. .. .. 1 .. .. 1 Hilton Street Ratcliff .. 1 .. .. .. .. 1 Hobson's Cottages, Pelhain Street Mile End New Town .. .. .. .. .. .. .. Hobson's Place Mile End New Town .. .. .. .. .. .. .. Holford Street Mile End .. .. .. .. .. .. .. Holkar Place Limehouse .. .. .. .. .. .. .. Holloway Street Mile End .. .. .. .. .. .. .. Hooper Street Whitechapel .. .. .. .. .. 1 1 Hope Court Limehouse .. .. .. .. .. .. .. Hope Place Limehouse .. .. .. 1 .. .. 1 Hope Street Whitecliapel .. .. .. .. .. .. .. Horsef erry Branch Road Ratcliff .. .. .. .. .. .. .. Horsley Buildings Mile End .. .. .. .. .. .. .. Howard's Buildings Mile End New Town .. .. .. .. .. .. .. Iluddart Street Mile End .. 1 .. .. .. .. 1 Hungerford Street St. George's .. .. .. .. .. .. .. Hunt Court Mile End New Town .. 1 .. .. .. .. 1 102 Returns of Infectious Diseases.— continued. Streets. Districts. Small Pox. Scarlet Fever. Typhoid Fever Diphtheria. Membranous Croup. Erysipelas. Total. Hunt's Mews Shadwell .. .. .. .. .. .. .. Hunt Place Whitechapel .. .. .. .. .. .. .. Hunt Street Mile End New Town .. 5 1 2 .. 1 9 Hogarlli Houses, Butty St St. George's .. 1 .. .. .. 2 3 Hogarth Houses, Christian Street St. George's .. .. .. .. .. .. .. I Imperial Buildings St. George's .. .. .. .. .. .. .. Irene House, Flower and Dean Street Spitalfields .. .. .. 1 .. .. 1 Irish Court Whitechapel .. .. .. .. .. .. .. Island Row Limehouse .. .. .. 1 .. .. 1 J Jamaica Passage Limehouse .. .. .. .. .. .. .. Jamaica Street Mile End .. 1 .. .. .. .. 2 James' Place Ratcliff .. 2 .. .. .. .. 2 James' Street Mile End .. .. .. .. .. .. .. Jane Court St. George's .. .. .. .. .. .. .. Jane Street St. George's .. .. .. 1 .. .. ..1 Jewell Street Mile End .. 1 .. .. .. .. 1 John's Court, Casson Street Whitechapel and Mile End New Town .. .. .. .. .. .. .. John's Court St. George's .. .. .. .. .. .. .. John's Gardens Limehouse .. .. .. .. .. .. .. John's Hill St. George's .. .. .. .. .. .. .. John's Place Mile End .. .. .. .. .. .. .. John's Place, Old Mon tague Street Whitechapel .. .. .. .. .. .. .. Johnson's Buildings Wapping .. .. 1 .. .. .. 1 Johnson's Court Whitechapel .. .. .. .. .. .. .. Johnson Street St. George's .. 3 .. 1 .. .. 4 Joseph Street Mile End .. .. .. .. .. 3 3 Joseph Street St. George's .. 3 .. 3 .. .. 6 Josephine House, Thraw Street Spitalfields .. .. .. .. .. 1 1 Jubilee Buildings Wapping .. 2 .. .. .. .. 2 Jubilee Street Mile End .. 3 .. 2 .. 3 8 Juniper Street Shadwell .. 1 1 1 .. 2 5 Juniper Court St. George's .. .. .. .. .. .. .. Jupp's Road Mile End .. .. .. 2 .. 1 3 103 Returns of Infectious Diseases.— continued. Streets. Districts. Small Pox. Scarlet Fever. Typhoid Fever Diphtheria. INI em bran ous Croup. Erysipelas. Total. K Katherine Buildings, Cartwright Street Aldgate .. .. .. .. .. 1 1 Key Street Mile End .. .. .. 1 .. .. 1 Kent and Essex Yard Whitechapel .. .. .. .. .. .. .. Kinder Street St. George's .. .. .. .. .. 1 1 King David Lane Shadwell .. .. 1 .. .. .. 1 King Street Aldgate .. .. .. .. .. .. .. King John Street Mile End .. .. .. .. .. .. .. King Street Mile End .. .. .. .. .. .. .. King Edward Street Mile End New Town .. .. .. .. .. 3 3 King's Arms Court Whitechapel .. .. .. .. .. .. .. Kirk's Place Limehouse .. .. .. .. .. .. .. Knott Street Mile End .. .. .. .. .. 1 1 Keate House, Lolesworth Street Whitechapel .. 3 .. .. .. .. 3 L Lady Mica's Almshouses. Ratcliff .. .. .. .. .. .. .. Lake Street Limehouse .. 1 .. 1 .. .. 2 Lamb Court Spitalfields .. .. .. .. .. .. .. Lambeth Street Whitechapel .. .. .. .. .. .. .. Lamb Street Spitalfields .. 1 .. .. .. .. 1 Lancaster Place Whitechapel .. .. .. .. .. .. .. Lance Street Limehouse .. .. .. .. .. .. .. Langdale Street St. George's .. 1 .. .. .. 1 2 Langdale Place St. George's .. .. .. .. .. .. .. Langdale Mansions St. George's .. .. .. .. .. 1 9 Lanslown Cottages Whitechapel .. .. .. .. .. .. .. Latimer Street Mile End .. 2 .. .. .. 2 4 Lavender Place St. George's .. .. .. .. .. .. .. Lawton Road Mile End .. .. .. .. .. .. .. Leading Street Shadwell .. .. .. .. .. .. .. Leatherdale Street Mile End .. .. .. .. .. .. 1 Lee Street Limehouse .. .. .. 1 .. .. 1 Leman Street Whitechapel .. .. .. 1 .. 3 4 Leopold Street Mile End .. .. .. 1 .. 1 2 Leslie Street Mile End .. 1 .. 1 .. .. 2 Lewin's Buildings Mile End .. .. .. .. .. .. .. Lillian House St. George's .. .. .. .. .. .. .. Limehouse Causoway Limehouse .. .. .. .. .. .. .. L:ncoln Street Mile End .. 5 .. .. .. .. 5 Lindley Street Mile End .. 1 .. .. .. 3 4 Lichfield Road Mile End .. 1 1 1 .. .. 3 Little Alie Street Whitechapel .. .. .. .. .. 1 1 Little Ann Street St. George's .. .. .. .. .. .. .. 104 Returns of Infectious Diseases.— continued. Streets. Districts. Small Pox. Scarlet Fever. Typhoid Fever Diphtheria. Membranous Croup. Erysipelas. Total. Little Bridge Street Mile End .. .. .. .. .. .. .. Little Halifax Street Whitechapel .. .. .. .. .. .. .. Little Hermitage Street St. George's .. .. .. .. .. .. .. Little Holloway Street Mile End .. .. .. .. .. .. .. Little John Street Ratcliff .. .. .. .. .. .. .. Little John Street Whitechapel .. .. .. .. .. .. .. Little Montague Street Spitalfields .. .. .. .. .. .. .. Little Pearl Street Spitalfields .. .. .. .. .. 1 1 Little Preseot Street Whitechapel .. .. .. .. .. .. .. Little Thames Street Aldgate .. .. .. .. .. .. .. Little Tongue Yard Whitechapel .. .. .. .. .. .. .. Little Tower Hill Aldgate .. .. .. .. .. .. .. Little Turner Street St. George's .. .. .. .. .. .. .. Loate's Buildings Aldgate .. .. .. .. .. .. .. Lockhart Street Mile End .. 1 .. 3 .. 3 7 Lockside Limehouse .. .. .. .. .. .. .. Locksley Street Limehouse .. 2 .. 2 .. .. 4 Lolesworth, Buildings, Thrawl Street Spitalfields .. 1 .. 3 .. .. 4 Lolesworth Street Spitalfields .. .. .. .. .. .. .. Lomas Buildings Mile End .. .. .. .. .. .. .. Lombard Street Mile End New Town .. 1 .. .. .. .. 1 London Street Ratcliff .. .. .. .. .. .. .. Longfellow Road Mile End .. 1 .. 1 .. .. 2 Longnor Road Mile End .. .. .. .. .. .. .. Lotus Court Spitalfields .. .. 4 1 .. .. 5 Louisa Street Mile End .. .. .. .. .. .. .. Louisa Gardens Mile End .. .. .. 2 .. .. 2 Louvaine Street Mile End .. .. .. 1 .. .. 1 Love Lane Shadwell .. .. .. .. .. .. .. Love Court Shadwell .. .. .. .. .. .. .. Love Lane Square Shadwell .. .. .. .. .. .. .. Lowder Street St. George's .. .. .. .. .. 1 1 Lowell Street Limehouse .. 1 . . 1 .. .. 2 Lower Chapman Street St. George's .. 1 .. 1 .. 2 4 Lower Eaat Smithfield Aldgate .. .. .. .. .. .. .. Lower Fenton Street St. George's .. .. .. .. .. .. .. Lower Shadwell Shadwell .. .. .. .. .. .. .. Lowood Buildings Shadwell .. .. .. 1 .. .. 1 Lucas Street St. George's .. 1 .. 2 .. 1 4 Ludens Place St. George's .. .. .. .. .. .. .. Lufton Place Limeliouse .. .. .. .. .. .. .. Luntley Place Whitechapel .. .. .. .. .. .. .. Lyal Road Mile End .. .. .. .. .. .. .. Lydia Street Mile End .. 1 .. 1 .. 2 4 Lytton House, Pelham Street Mile End New Town .. .. .. .. .. .. .. Lydbrook Street Limehouse .. .. .. .. .. .. .. 105 Returns of Infectious Diseases.— continued. Streets. Districts. Small Pox. Scarlet Fever. Typhoid Fever Diphtheria. Membranous Croup. Erysipelas. Total. M Magdalen Passage Whitechapel .. .. .. .. .. .. .. Maidman Street Mile End .. 1 .. .. .. 2 3 Malay Street St George's .. .. .. .. .. .. .. Manning Street Limehouse .. .. .. .. .. .. 2 Manor Court Ratcliff .. .. .. .. .. .. .. Man sell Street Whitechapel .. .. .. .. .. .. .. Maplin Street Mile End .. .. 1 1 .. .. 2 Man sell Passage Whitechapel .. .. .. .. .. .. .. Maria Terrace Mile End .. .. .. .. .. .. .. Maritime Street Mile End .. .. .. .. .. .. .. Market Street Ratcliff .. .. .. .. .. .. .. Market H ill Shadwell .. .. .. .. .. .. .. Market Buildings Shadwell .. .. .. 2 .. .. 2 Marmaduke Place St. George's .. .. .. .. .. .. .. Maroon Street Limehouse .. .. .. .. .. 1 4 Martlia Street St. George's .. 1 2 1 .. 1 5 Mary Ann Street St. George's .. 1 .. 3 .. .. 4 Mary Street St. George's .. .. .. .. .. .. .. Mary Place St. George's .. .. .. 1 .. .. 1 Mason's Court Mile Eud New Town .. .. .. 1 .. .. 1 Master's Street Mile End .. .. .. .. .. .. .. Matlock Street Limehouse .. 1 .. .. .. .. 1 Matilda Place St. George's .. .. .. .. .. .. .. Matilda Street St. George's .. .. .. .. .. .. .. May's Cottages Limehouse .. .. .. .. .. .. .. May's Buildings Mile End .. .. .. .. .. .. .. Mayfield Buildings St. George's .. .. 1 .. .. .. l Medland Street Ratcliff .. 1 .. .. .. .. 1 Medway Road Mile End .. .. .. .. .. .. .. Meeting House Alley St. George's .. .. .. .. .. .. .. Meeting House Building St. George's .. .. .. .. .. .. .. Mercer Street Shadwell .. .. .. .. .. .. .. Meredith Buildings St. George's .. 1 .. .. .. .. 1 Metropolitan Buildings Mile End New Town .. 1 .. .. .. .. 1 Middle Shadwell Sliadwell .. .. .. .. .. .. .. Middlesex Street Whitechapel .. .. .. .. .. .. .. Mile End Buildings Mile End .. .. .. .. .. .. .. Mile End Place Mile End .. .. .. .. .. .. .. Mile End Road Mile End .. 5 1 1 .. 1 8 Milk Yard Shadwell .. .. .. .. .. .. .. Miller's Court Spitalfields .. .. .. .. .. .. .. Miller's Cottages Mile End .. .. .. .. .. .. .. Mill Place Limehouse .. .. .. .. .. .. 1 Mill Yard Whitechapel .. .. .. .. .. .. .. Minories (part of) Holy Trinity .. .. .. .. .. .. .. Mitre, The Limehouse .. .. .. .. .. .. .. H 106 Returns of Infectious Diseases.— continued. Streets. Districts. Small Por. Scarlet Fever. Typhoid Fever Diphtheria. Membrauous Croup. Erysipelas. Total. Monmouth Street Shadwell .. .. .. .. .. .. .. Montague House, Old Montague Street Whitechapel .. .. .. .. .. .. .. Montague Place Whitechapel .. .. .. 2 .. .. .. Monteagle Street Mile End .. .. .. .. .. .. .. Montefiore House St. George's .. 1 .. .. .. .. 1 Monza Street Shadwell .. .. .. .. .. .. .. Moody Street Mile End .. .. .. .. .. 2 2 Morgan Street Mile End .. 1 .. .. .. .. 1 Morgan Terrace Mile End .. .. .. .. .. .. .. Morrison's Buildings, Sout Whitechapel .. .. .. .. .. .. .. Morris Street St. George's.. .. .. .. 2 .. 1 3 Moss Buildings, St. Mary Street Whitechapel .. .. .. .. .. 1 1 Mossford Street Mile End .. .. .. 1 .. .. 1 Mount Street Whitechapel .. .. .. 1 .. .. 1 Mountford Street Whitechapel .Monsey Street Mile End .. 1 .. .. .. .. 1 Murdock Cottages Milo End .. .. .. .. .. .. .. Mulberry Street Mile End .. .. .. 1 .. 2 3 Mundy's Place Whitechapel .. .. .. .. .. .. .. Myrdle Street Mile End .. .. .. 1 .. .. 1 Morrison's Buildings,North, Mile End .. .. .. .. .. .. .. Morgan Houses St. George's .. .. .. .. .. .. .. N .. Nag's Head Yard Whitechapel .. .. .. .. .. .. .. Narrow Street Limehouse and Ratcliff .. .. .. .. .. 2 2 Nathaniel Buildings Spitalfields .. 2 .. 1 .. 2 5 Nelson's Court, Fashion Street Spitalfields .. .. .. .. .. .. .. Nelson Street Mile End .. 5 1 2 .. 1 9 Neptune Street Wapping .. .. .. 1 .. .. 1 Nesbitt's Rents Limehouse .. .. .. .. .. .. .. New Alley Limehouse .. .. .. .. .. .. .. New Alley Square Limehouse .. .. .. .. .. .. .. Newark Street Mile End .. 2 1 1 .. 2 6 Newbold Street Mile End .. .. .. .. .. .. .. New Buildings, Tenter Street Whitechapel .. .. .. .. .. .. .. Newton's Rents Shadwell .. .. .. .. .. .. .. Newcastle Street Whitechapel .. .. .. .... .. .. .. Newcastle Place Whitechapel .. .. .. .. .. .. .. New Court, Duval Street Spitalfields .. .. .. .. .. .. .. Nelson's Court, Winthrop Street Whitechapel .. .. .. .. .. .. .. 107 Returns of Infectious Diseases.—continued. Streets. Districts. Small Tox. Scarlet Fever. Typhoid Fever Diphtheria. M embranous Croup. Erysipelas. Total. New Church Street Mile End New Town .. .. .. .. .. .. .. Neat's Cottages Mile End .. .. .. .. .. .. .. Norfolk Buildings St. George's .. .. .. .. .. .. .. New Court, Fashion Stree Spitalfields .. 3 .. .. .. .. 3 New Goulston Stroet Whitechapel .. .. .. .. .. .. .. New Gravel Lane Shadwell .. .. .. 1 .. 1 2 Newman's Buildings, Cos Square Spitalfields .. .. .. .. .. .. .. New Martin Street Whitechapel .. .. .. .. .. .. .. New Square Spitalfields .. .. .. .. .. .. .. Newnliain Street .. Whitechapel .. .. .. .. .. .. .. New Tower Buildings Wapping .. .. .. .. .. .. .. New Road Whitechapel and Mile End .. 4 .. .. .. 1 5 Newman's Buildings, Pelham Street Spitalfields .. .. .. .. .. .. .. Nicholas Street Mile End .. 2 1 .. .. .. 3 Nightingale Liine Limehouse .. .. .. .. .. .. .. Nightingale Lane Aldgate .. .. .. .. .. .. .. Norfolk Street Mile End .. 1 1 .. .. .. 2 Northey Street Limehouse .. .. .. 2 .. 1 3 Norton Folgate Norton Colgate .. .. .. .. .. .. .. North-East Passage St. George's .. .. .. .. .. .. .. Norway Place Limehouse .. .. .. .. .. .. .. Norway Yard Limehouse .. .. .. 1 .. .. 1 Norwich Court Whitechapel .. .. .. .. .. .. Notgrove Street Limehouse .. 1 .. .. .. .. 1 Nottingham Place Mile End .. .. .. .. .. 3 3 Norman's Buildings St. George's .. .. .. .. .. .. .. North Place Mile End New Town .. .. 1 3 .. .. 4 North Street Spitalfields .. .. .. .. .. .. .. North Street Mile End .. .. .. .. .. .. .. o Oak Lane Limehouse .. 1 .. 2 .. .. 3 Oak Place Mile End .. .. .. .. .. .. .. Ocean Street Mile End .. .. 1 1 .. 1 3 Old Castle Street Whitechapel .. .. .. .. .. .. .. Old Church Road Mile End .. 2 .. 1 .. 3 6 Old Gravel Lane St. George's .. .. .. 1 .. 1 2 Old Montague Street Whitechapel .. 5 .. 2 .. 3 10 Old Tower Buildings . Wapping .. 2 .. 1 .. .. 3 Oley Place.. Mile End .. .. .. .. .. .. .. Orange Court St George's .. .. .. .. .. .. .. Orange Mews Mile End New Town .. .. .. .. .. .. .. Orchard Gardens Mile End .. .. .. .. .. .. .. H 2 108 Returns of Infectious Diseases.— continued. Streets. Districts. Small Pox. Scarlet Fever. Typhoid Fever Diphtheria. Mem bran oils Croup. Erysipelas. Total. Orchard, The Ratcliffe . . . . . . . . . . . . . . Orson Place Mile End . . . . . . . . . . . . . . Osborn Court Whittchapel . . . . . . . . . . . . . . Osborn House Whitechapel . . . . . . . . . . . . . . Osborn Place Whitechapel . . . . . . . . . . 1 1 Osborn Street Whitechapel . . . . . . 2 . . . . 2 Oxford Street Mile End and Whitechapel . . 3 . . 3 . . 1 7 P Painter's Rents Rate-lift . . . . . . . . . . . . . . Palmer Street Spitalfields . . . . . . . . . . . . . . Paragon Mansions Mile End . . . . . . . . . . . . . . Parfett Street Mile End . . . . . . . . . . . . . . Park Road Mile End . . . . . . . . . . 1 1 Park Street Limehouse . . . . . . . . . . 1 1 Parkhurst Buildings, Samuel Street Limehouse . . . . . . . . . . . . . . Parliament Court Old Artillery Ground . . . . . . . . . . . . . . Parnham Street Limehouse . . . . . . . . . . . . . . Pattison Street Mile End . . . . 1 . . . . . . 1 Paternoster Row Spitalfields . . . . . . . . . . . . . . Pauline Terrace, Old tague Street Whitechapel . . . . . . . . . . . . . . Pavilion Yard Whitechapel . . . . . . . . . . . . . . Peabody Buildings Shadwell . . . . . . . . . . 1 1 Peabody Buildings Whitechapel . . . . 1 2 . . 1 4 Peabody Buildings Spitalfields . . . . 1 . . . . . . 1 Pearl Street St. George's . . 3 . . 1 . . . . 4 Pearl Place Mile End . . . . .. . . . . . . . . Peck's Yard, Hanbury Street Spitalfields . . . . . . . . . . . . . . Peel's Alley Shadwell . . . . . . . . . . . . . . Pelham House Mile End New Town and Spitalfields . . . . . . . . . . . . . . Pelham Street Spitalfields . . 1 . . . . . . 5 6 Pelham Street Buildings.. Spitalfields . . . . . . . . . . . . . . Pelham House, Spital Square Spitalfields . . . . . . . . . . . . . . Pelican Passage Mile End . . . . . . . . . . . . . . Pelling Street Limehouse . . . . . . . . . . . . . . Pell Place St George's . . . . . . . . . . . . . . Pell Street St. George's . . . . . . 1 . . 2 3 Pennington Street St. George's . . 1 . . . . . . . . 1 Returns of Infectious Diseases.— continued. Streets. Districts, Small Pox. Scarlet Fever. Typhoid Fever. Diphtheria. Membranous Croup. Erysipelas. Total. Padstow Place Limehouse . . . . . . . . . . 1 1 Pennington Street Buildings St. George's . . . . . . . . . . . . 1 Pennington Place St. George's . . . . . . . . . . . . 1 Periwinkle Street Ratcliff . . . . . . . . . . . . . . Perry's Avenue, Booth Street Spitalfields . . 1 . . . . . . . . 1 Perth Street Mile End . . . . . . . . . . . . . . Phillip Street St. George's . . . . . . . . . . . . . . Phillip Buildings St. George's . . . . . . . . . . . . . . Philpot Street Mile End . . . . . . . . . . 1 . . Philpot Place Mile End . . . . . . . . . . . . . . Phœbe Street Limehouse . . . . . . . . . . . . . . Phoenix Court St. George's . . . . . . . . . . . . . . Pier Head St. George's . . . . . . . . . . . . . . Pigott Street Limehouse . . . . . . . . . . . . . . Pinchin Street St. George's . . . . . . . . . . . . . . Pitsea Place Limehouse . . . . . . . . . . 1 1 Pinchin Street Buildings St. George's . . . . . . . . . . . . . . Pixley Street Limehouse . . . . . . . . . . . . . . Planet Street St. George's . . . . . . . . . . 1 1 Pleasant Row Ratcliff . . . . . . . . . . . . . . Plough Alley St. George's . . . . . . . . . . . . . . Plough Square Whitechapel . . . . . . . . . . . . . . Plough Street Buildings Whitechapel . . . . . . . . . . 1 1 Plough Street Whitechapel . . . . . . .. . . . . . . Plumber's Row Whitechapel and Mile End . . 1 . . 1 . . 2 4 Pole Street Mile End . . . . 1 . . . . . . 1 Poonah Street St. George's . . . . . . . . . . . . . . Poole's Square Spitalfields . . . . . . . . . . . . . . Pope's Hill Shadwell . . . . . . . . . . . . . . Pope's Head Court Spitalfields . . . . . . . . . . . . . . Portland Street Ratcliff and Mile End . . 2 . . . . . . . . 2 Putter's Buildings Limehouse . . . . . . . . . . . . . . Priestley's Buildings St. George's . . . . . . . . . . . . . . Princes Place Whitechapel . . . . . . . . . . . . . . Princes Place Limehouse . . . . . . . . . . . . . . Princes Square St. George's . . 3 . . . . . . 1 5 Princelet Street Spitalfields . . . . . . . . . . 1 2 Princes street Mile End . . 2 . . . . . . . . 2 Princes Street St. George's . . 1 . . . . . . 1 3 Prince of Orange Court St. George's . . . . . . . . . . . . . . Prospect Place St. George's . . . . . . . . . . . . . . Prospect Place Limehouse . . . . . . . . . . . . . . Prosperous Place Limehouse . . . . . . . . . . . . . . Providence Street St. George's . . . . . . . . . . . . . . Prusom Street St. George's . . . . . . . . . . . . . . Prusom Street Buildings St. George's . . . . . . . . . . . . . . Puma Court Spitalfields .. . . . . . . . . . . . . . . 109 110 Returns of Infectious Diseases.— continued. Streets. Districts. Small Pox. Scarlet Fever. Typhoid Fever Diphtheria. Membranous Croup. Erysipelas. Total. Q Quaker Street Spitalfields . . . . . . . . . . . . . . Queen Ann Street Whitechapel . . 1 . . 1 . . 1 3 Queen's Head Alley Wapping . . . . 1 . . . . 1 2 Queen's Place St. George's . . . . . . . . . . 1 1 Queen Street Aldgate . . . . . . . . . . . . . . Queen Street Mile End New Town . . 3 . . . . . . 2 5 Queen's Cottages Mile End . . . . . . . . . . . . . . Queen's Head Place St. George's . . . . . . 1 . . . . 1 R Raby Street Ratcliff . . 1 . . . . . . . . 1 Railway Place Limehouse . . . . . . . . . . 1 1 Railway Place Mile End . . . . . . . . . . . . . . Ramar Place Mile End New Town . . 1 . . . . . . . . 1 Raine's Mansions St. George's . . 1 . . . . . . . . 1 Raine's Street St. George's . . . . 1 . . . . . . 1 Ratcliff Square Ratcliff . . . . . . . . . . . . . . Ratcliff Street St. George's . . . . . . . . . . . . . . Raven Row Whitechapel and Mile End . . 1 . . . . . . . . 1 Raymond Street St. George's . . . . . . . . . . 1 1 Rectory Buildings Shadwell . . . . . . . . . . . . . . Rectory Square Mile End . . . . . . . . . . . . . . Red Lion Court Wapping . . . . . . 1 . . . . 1 Red Lion Street St. George's and Wapping . . . . 1 1 . . . . 2 Regent's Cottages Limehouse . . . . . . . . . . . . . . Reginald Houses, Field- . . . . . . . . . . . . . . gate Street Whitechapel . . . . . . . . . . . . . . Red Mead Lane St. George's . . . . . . . . . . . . . . Red Lion and Spread Eagle Yard Whitechapel . . . . . . . . . . . . . . Redman's Gardens Mile End . . . . . . . . . . . . . . Redman's Road Mile End . . 1 . . . . . . 1 2 Reform Place Limehouse . . . . . . . . . . . . . . Regent's Court Limehouse . . . . . . . . . . . . . . Regent's Place Limehouse . . . . . . . . . . . . . . Regent's Place, Blossom Street Norton Folgate . . . . . . . . . . . . . . Regent's Place Mile End . . . . . . . . . . . . . . Regal Place Mile End New Town . . . . . . . . . . . . . . Repton Street Limehouse . . . . . . . . . . . . . . Rhodeswell Road Limehouse and Mile End . . 2 . . 2 . . 2 6 Rich Street Limehouse . . . . . . . . . . . . . . 1ll Returns of Infectious Diseases.—continued. Streets. Districts. Small Pox. Scarlet Fever. Typhoid Fever. Diphtheria. Membranous Croup. Erysipelas. Total. Richard Court St. George's . . . . . . . . . . 1 1 Richard Street St. George's . . 1 . . . . . . . . 1 Richardson Street Mile End . . . . . . . . . . . . . . Robert Street Limehouse . . . . . . . . . . . . . . Robeson Street Mile End . . 1 1 . . . . . . 2 Roger's Court St. George's . . . . . . . . . . . . . . Romford Street Mile End . . . . . . . . . . 1 1 Ronald Street Ratcliff . . 2 . . . . . . . . 2 Ropner Place Limehouse . . . . . . . . . . . . . . Ropemakers' Fields Limehouse . . . . . . . . . . . . . . Ropery Street Mile End . . 5 . . . . . . . . 5 Rose Place Mile End . . . . . . . . . . . . . . Rose Lane Ratcliff . . . . . . . . . . . . . . Rose Lane Limehouse . . . . . . . . . . . . . . Rosetta Place Spitalfields . . . . . . . . . . . . . . Rosemary Court Spitalfields . . . . . . . . . . . . . . Rosina Cottages Whitechapel . . . . . . . . . . . . . . Rothschild's Buildings, Thrawl Street Whitechapel . . 1 . . 1 . . 1 3 Rowsell Street Mile End . . . . . . . . . . . . . . Royal Mint Aldgate . . . . . . . . . . . . . . Royal Mint Square Buildings Aldgate . . . . . . 1 . . 1 2 Royal Mint Street Whitechapel and Aldgate . . . . . . . . . . . . . . Rugg Street Limehouse . . . . . . . . . . . . . . Rupert Street Whitechapel . . . . . . . . . . . . . . Russell Street Mile End . . . . . . 3 . . 1 4 Russell Court St. George's . . . . . . . . . . . . . . Ruth House, Flower and Dean Street Spitalfields . . . . . . . . . . . . . . Rutland House St. George's . . . . . . . . . . . . . . Rutland Street Mile End . . 1 . . 2 . . 3 6 Rycroft Court St. George's . . . . . . . . . . . . . . Rygate Street St. George's . . 1 . . 1 . . . . 2 Royal Jubilee Buildings. St. George's . . 2 . . . . . . . . 2 S Sage Street Shadwell . . 1 . . . . . . . . 1 Salisbury Street Mile End . . 4 . . 2 . . . . 6 Salmen Street Mile End . . . . . . . . . . . . . . Salmon Court Limehouse . . . . . . . . . . . . . . Salmon Lane Limehouse . . . . . . 1 . . 2 3 Salter Street Limehouse . . 2 . . . . . . . . 2 Salter Street St. George's . . . . . . . . . . . . . . Sampson's Gardens St. George's . . . . . . . . . . . . . . Samuel Court Mile End New Town . . . . . . . . . . . . . . 112 Returns of Infectious Diseases.— continued. Streets. Districts Small Pox. Scarlet Fever. Typhoid Fever Diphtheria. Membranous Croup. Erysipelas. Total. Samuel Street Limehouse . . 2 1 . . . . . . 3 Sander Street St. George's . . . . . . 1 . . . . 1 Sander Street Buildings St. George's . . . . . . . . . . . . . . Sandy's Row Spitalfields . . . . . . . . . . . . . . Sarah Street Shadwell . . . . . . . . . . . . . . Sawyer's Yard Whitechapel . . . . . . . . . . . . . . Scarborough Street Whitechapel . . . . . . . . . . . . . . Sceptre Street Mile End . . . . . . 1 . . . . 1 Schoolhouse Lane Ratcliff . . . . . . l . . . . 1 Selby Street Mile End New Town . . . . . . . . . . . . . . Selsey Street Limehouse . . . . . . l . . 1 2 Selwyn Road Mile End . . 1 . . . . . . . . 1 Senrab Street Mile End . . 2 . . . . . . . . 2 Settle Street Mile End . . 2 . . 5 . . 1 8 Seven Star Alley St. George's . . . . . . . . . . . . . . Seven Star Yard Spitalfields . . . . . . . . . . . . . . Severne Street St. George's . . . . . . . . . . . . . . Shadwell Fish Market Shadwell . . . . . . . . . . . . . . Shadwell Green Shadwell . . . . . . 1 . . . . 1 Shandy Street Mile End . . 1 1 . . . . . . 2 Sharpe's Buildings Aldgate . . . . . . . . . . . . . . Sheha Street Spitalfields . . . . . . . . . . . . . . Shepherd Street Spitalfields . . . . . . . . . . . . . . Shepherd Street Buildings Spitalfields . . 1 . . . . . . . . 1 Shepherd's Place Spitalfields . . . . . . . . . . . . . . Sheppy Yard Holy Trinity . . . . . . . . . . . . . . Sheridan Street St. George's . . 1 1 1 . . . . 3 Ship Street St. George's . . . . . . . . . . . . . . Ship Alley St. George's . . . . . . . . . . . . . . Shoreditch High Street Whitechapel . . . . . . . . . . 1 1 Short Street Spitalfields . . . . . . . . . . . . . . Shorter Street St. George's and Wapping . . . . . . . . . . . . . . Shorter's Rents, Lamb Street Spitalfields . . . . . . . . . . . . . . Shoulder of Mutton Alley Limehouse . . . . . . . . . . . . . . Silas Street Mile End . . . . . . . . . . . . . . Single Gardens Mile End . . . . . . . . . . . . . . Single Place Mile End . . . . 1 . . . . 1 2 Single Street Mile End . . . . . . . . . . . . . . Sidney Street Mile End . . 4 . . 1 . . 1 6 Sidney Square Mile End . . . . . . . . . . . . . . Silver Street Limehouse . . . . . . . . . . . . . . Silver Street Mile End . . . . . . . . . . . . . . Silver Street St. George's . . . . . . 1 . . . . 1 Sion House Mile End . . . . . . . . . . . . . . Sion Square Mile End . . . . . . 1 . . . . 1 Size Yard Whitechapel . . . . . . . . . . . . . . Returns of Infectious Diseases.—continued. Streets. Districts. Small Pox. Scarlet Fever. Typhoid Fever Diphtheria. Membranous Croup. Erysipelas. Total. Skidmore Street Mile End . . 3 . . . . . . 1 4 Sly Street St. George's . . 1 . . . . . . . . 1 Smith Place Mile End . . . . . . . . . . . . . . Smith. Street Mile End . . . . . . 1 . . . . . . Solander Street Shadwell . . . . . . 1 . . . . 1 South Grove Mile End . . 2 . . . . . . 1 . . South Grove Buildings Mile End . . 1 . . . . . . . . 1 South Street Limehouse . . . . . . . . . . . . . . Spring Gardens, King Edward Street Mile End New Town . . . . . . . . . . 1 1 Spring Gardens Limehouse . . . . . . 1 . . . . 1 Speck's Fields Mile End New Town . . . . . . . . . . . . . . Spectacle Alley Whitechapel . . . . . . . . . . . . . . Spelman Court Whitechapel . . . . . . 2 . . . . 2 Spencer House, Loles worth Street Whitechapel . . . . . . 1 . . . . 1 Spencer Street St. George's , . . 3 . . . . . . . . 3 Spencer Street Limehouse . . . . . . . . . . . . . . Spelman Street Whitechapel, Spitalfields, and Mile End New Town . . 4 . . . . . . . . 4 Spenlow Street Limehouse . . . . . . . . . . . . . . Spital Court Mile End New Town . . . . . . . . . . . . . . Spital Square Norton Folgate . . 1 . . 1 . . . . 2 Spital Street Mile End New Town . . 3 . . . . . . . . 3 Spitalfields Market North South No Houses East West . . . . . . . . . . . . . . Splidt Street St. George's . . . . . . . . . . . . . . Spring Garden Place Mile End and Ratcliff . . . . . . . . . . 1 1 St. Ann's Road Mile End . . 1 6 1 . . 1 9 St. Ann's Row Limehouse . . . . . . . . . . . . . . St. Anne's Street Limehouse . . . . . . . . . . . . . . St. Dunstan's Road Mile End . . . . 1 . . . . . . 1 St. George's Buildings St. George's . . . . . . . . . . . . . . St. George's House, George Yard Whitechapel . . . . . . . . . . . . . . St. George's Street St. George's and Wapping . . 2 1 2 . . 1 6 St. George's Terrace St. George's . . . . . . 1 . . 1 2 St. Mark Street Whitechapel . . . . . . . . . . . . . . St. Mary Street Whitechapel . . . . . . . . . . . . . . St. Paul's Road Mile End and Limehouse . . 1 . . . . 1 2 4 St Peter's Road Mile End . . . . . . . . . . . . . . St. Thomas' Road Mile End . . . . . . . . . . 1 1 St. Thomas's Yard Mile End . . . . . . . . . . . . . . 114 Returns of Infectious Diseases.— continued. Streets. Districts. Small Pox. Scarlet Fever. Typhoid Fever Diphtheria. Membranous Croup. Erysipelas. Total. Stainsby Road Limehouse . . . . . . . . . . . . . . Stanfield Road Mile End . . . . . . . . . . . . . . Star and Garter Yard St. George's . . . . . . . . . . . . . . Star Place St. George's . . 2 . . . . . . . . 2 Starch Yard St. George's . . . . . . . . . . 1 1 Station Place St. George's . . 1 . . . . . . . . 1 Stayner's Road Mile End . . 1 . . . . . . . . 1 Steel's Lane Mile End . . 1 . . . . . . . . 1 Stephen's Cottages, Conder Street Limehouse . . . . . . . . . . . . . . Stepney Causeway Ratcliff . . . . . . 1 . . 1 2 Stepney Green Mile End . . . . . . . . . . 1 1 Stepney High Street Mile End . . 1 . . . . . . . . 1 Stepney Industrial Dwellings Mile End . . 8 . . 2 . . 1 11 Stepney Square Mile End . . . . . . . . . . . . . . Steward Street Old Artillery Ground . . . . . . 1 . . . . 1 Stocks Place Limehouse . . . . . . . . . . . . . . Storer's Buildings Mile End . . . . . . . . . . . . . . Strafford House, Wentworth Street Spitalfields . . . . . . . . . . . . . . Strahan Road Mile End . . . . . . . . . . . . . . Streatfield Street Limehouse . . 3 . . . . . . . . 3 Stutfield Street St. George's . . . . . . . . . . 1 1 Sugar Loaf Court Whitechapel . . . . . . . . . . . . . . Sun Tavern Place Wapping . . . . . . . . . . . . . . Sutton Street St George's . . 1 1 . . . . 2 4 Swallows Gardens Whitechapel . . . . . . . . . . . . . . Swan Street Whitechapel . . . . . . . . . . . . . . Swan Yard High St., Whitechapel . . . . . . . . . . . . . . Synagogue Place Mile End . . . . 1 . . . . . . 1 T Tait Street St. George's . . . . . . 1 . . . . 1 Tnrling Street St. George's . . . . 1 2 . . 1 4 Tasburg Buildings St. George's . . . . . . . . . . . . . . Taylor's Place Limehouse . . . . . . . . . . . . . . Taylor's Rents St. George's . . . . . . . . . . . . . . Tenbury Place Limehouse . . . . . . . . . . . . . . Terrace Place Mile End . . . . . . . . . . . . . . Tench Street St. George's . . 1 . . . . . . . . 1 Tenter Buildings, St. Mark's Street Whitechapel . . . . . . . . . . . . . . Tenter Court Spitalfields . . . . . . . . . . . . . . Tenter Street Spitalfields . . 1 . . . . . . . . 1 Tenter Street North Whitechapel . . . . . . . . . . . . . . Tenter Street South Whitechapel . . . . . . . . . . . . . . Tenter Street East Whitechapel . . . . . . . . . . . . . . 115 Returns of Infectious Diseases.—continued. Streets. Districts. Small Pox. Scarlet Fever. Typhoid Fever Diphtheria. Membranous Croup. Erysipelas. Total. Tenter Street "West Whitechapel . . . . . . . . . . . . . . Tewkesbury Buildings Whitechapel . . 1 . . . . . . . . 1 Thirza Street Ratcliff . . . . . . 2 . . 1 3 Thomas Street Limehouse . . 1 . . 1 . . 1 3 Thomas Place St. George's . . . . . . . . . . 1 1 Thrawl Street Whitechapel . . . . . . . . . . . . . . Three Compass Court Ratcliff . . . . . . . . . . . . . . Three Colt Court Limehouse . . . . . . . . . . . . . . Three Colt Street Limehouse . . 1 . . . . . . . . 1 The Cottages Limehouse . . . . . . . . . . . . . . Tile Yard Limehouse . . . . . . . . . . . . . . Tilley Street Spitalfields . . . . . . . . . . . . . . Tillman Street St George's . . 1 . . . . . . . . 1 Tillotson Street Mile End . . . . . . . . . . . . . . Toilet Street Mile End . . . . . . 1 . . 1 2 Tomlin Terrace Limehouse . . 1 . . . . . . 1 2 Tower Bridge (North Arch) Whitechapel . . . . 1 . . . . . . 1 Tower Hill Whitechapel . . . . . . . . . . . . . . Tower of London . . . . . . 1 . . 1 2 Tower Buildings, Brewhouse Lane Wapping . . . . . . . . . . . . . . Tower Buildings, High Street Wapping . . . . . . . . . . . . . . Trafalgar Square Mile End . . . . . . . . . . . . . . Tredegar Square Mile End . . 5 . . . . . . . . 5 Trinity Almshouses Mile End . . . . . . . . . . . . . . Trinty Square Aldgate . . . . . . . . . . . . . . Troon Street Ratcliff . . . . . . . . . . . . . . Turner's Buildings St. George's . . . . . . . . . . . . . . Turner's Place Limehouse . . . . . . . . . . . . . . Turner's Road Limehouse and Mile End . . 1 1 . . . . . . 2 Turner's Street Mile End . . . . . . . . . . . . . . Twine Court Shadwell . . . . . . 1 . . . . 1 U Umberstone Street St. George's . . . . 1 1 . . 2 4 Underwood Street Mile End New Town . . 2 . . . . . . . . 2 Union Buildings Mile End . . . . . . . . . . . . . . Union Court, Wheeler Street Spitalfields . . . . . . . . . . . . . . Union Passage St. George's . . . . . . . . . . . . . . Union Place Limehouse . . . . . . . . . . . . . . Union Row Mile End . . . . . . . . . . . . . . Union Street Mile End . . . . . . . . . . . . . . 116 Returns of Infectious Diseases.— continued. Streets. Districts. Small Pox. Scarlet Fever. Typhoid Fever Diphtheria. Membranous Croup. Erysipelas. Total. Union Street St. George's . . . . . . . . . . . . . . Union Terrace Limehouse . . . . . . . . . . . . . . Upper Chapman Street St. George's . . . . . . 1 . . . . 1 Upper Fenton Street St. George's . . . . . . . . . . . . . . Upper Montague Street Mile End . . . . . . . . . . . . . . Upper East Smithfield Aldgate and Wapping . . 1 . . . . . . 3 4 V Vallance Road Whitechapel and Mile End New Town . . 5 2 . . . . 9 16 Varden Street Mile End . . . . . . . . . . 3 3 Venour Road Mile End . . . . . . . . . . . . . . Victoria Buildings, Cartwright Street Aldgate . . . . . . . . . . . . . . Victoria Cottages, Albert Street Mile End New Town . . . . . . . . . . . . . . Victualling Office Square Whitechapel . . . . . . . . . . . . . . Victoria Buildings, Emmott Street Mile End . . . . 1 . . . . . . 1 Vine Court Whitechapel . . . . . . . . . . . . . . Vine Yard Spitaltields . . . . . . . . . . . . . . Vintners' Almhouses Mile End . . . . . . . . . . . . . . Virginia Court St. George's . . . . . . . . . . . . . . W Wade's Place Mile End . . . . 1 1 . . . . 2 Wainwright Place St. George's . . . . . . . . . . . . . . Walburgh Street St. George's . . . . . . . . . . . . . . Walburgh Court St. George's . . . . . . 1 . . . . 2 Walden Street Mile End . . . . . . 2 . . . . 4 Walker Street Limehouse . . . . . . . . . . . . 1 Wallwood Street Limehouse . . . . . . 1 . . . . 2 Walter Street Ratcliff . . . . . . 1 . . . . 1 Wapping Wall Wapping . . . . . . . . . . . . . . Warwick Place Limehouse . . . . . . . . . . . . . . Waterloo Place St. George's . . . . . . . . . . . . . . Waterloo Street Limehouse . . . . . . . . . . . . . . Watney Street St. George's . . . . . . . . . . . . 2 Watts Street St. George's . . . . . . . . . . . . . . Watts Street Buildings St. George's . . . . . . . . . . . . . . Weaver Street Whitechapel . . . . . . . . . . . . 1 Webb's Place Whitechapel . . . . . . . . . . . . . . Wells Street Whitechapel . . . . . . . . . . . . . . 117 Returns of Infectious Diseases.—continued. Streets. Districts. Small Pox. Scarlet Fever. Typhoid Fever Diphtheria. Membranous Croup. Erysipelas. Total. Wellclose Square St. George's, Whitechapel and Wapping . . 2 . . 1 . . . . 3 Wellesley Street Mile End . . . . . . 2 . . . . 2 Wellington Buildings St. George's . . . . . . . . . . 1 1 Went worth Street Spitalfields and Whitechapel . . . . 1 . . . . . . 1 Wentworth Court East Spitalfields . . . . . . . . . . . . . . Wentworth Court West Spitalfields . . . . . . . . . . . . . . Wentworth Buildings Whitechapel . . . . . . 1 . . 3 4 West Gardens Shadwell . . . . . . . . . . . . . . West Gardens Buildings.. Shadwell . . . . . . . . . . . . . . West Pier Wapping . . . . . . . . . . . . . . West Arbour Street Mile End . . . . . . . . . . . . . . West Street Mile End . . . . . . . . . . l 1 West India Dock Road Limehouse . . 1 . . . . . . l 2 West's Folly St. George's . . . . . . . . . . . . . . Western Passage St. George's Whaley Street Mile End . . . . . . . . . . . . . . Wharton Place Limehouse . . . . . . . . . . . . . . Wheeler Street Spitalfields . . . . . . 1 . . . . 1 Whitechapel High Street Whitechapel . . . . . . . . . . . . . . Whitechapel Road Whitechapel and Mile End . . 16 1 7 . . 4 28 White's Gardens St. George's . . . . . . . . . . . . . . White's Rents Limehouse . . . . . . . . . . . . . . White's Row Spitalfields . . 1 . . . . . . . . 1 White Hart Court Mile End . . . . . . . . . . . . . . White Horse Lane Mile End . . 2 . . . . . . 2 4 White Horse Street Ratcliff . . 3 1 . . . . 1 5 White Lion Street Spitalfields and Norton Folgate . . 4 . . . . . . 1 5 Whitehall Court Limehouse . . . . . . . . . . . . . . Whitehall Place Limehouse . . . . . . . . . . . . . . Whiteliead Street Mile End . . . . . . . . . . . . . . Whitethorne Court St. George's . . . . . . . . . . . . . . Whitethorne Place St. George's . . . . . . . . . . . . . . Whitman Road Mile End . . . . . . . . . . . . . . Williams' Buildings Mile End . . . . . . . . . . . . . . Williams' Place Limehouse . . . . . . . . . . 1 1 William Street St. George's . . . . . . 1 . . . . 1 Willow Row Limehouse . . . . . . . . . . . . . . Willow Street Mile End . . . . . . . . . . . . . . Wilk Court Spitalfields . . . . . . . . . . . . . . Wilkes Street Spitalfields . . . . . . . . . . . . . . Wilson's Place Limehouse . . . . . . . . . . . . . . Wilson Street Mile End . . 2 . . 2 . . 2 6 Winifred House, Thrawl Street Spitalfields . . 1 . . . . . . 1 2 118 Returns of Infectious Diseases.— continued. Strects. Districts. Small Pox. Scarlet Fever. Typhoid Fever Diphtheria. Membranous Croup. Erysipelas. Total. Winterton Buildings St. George's . . . . 1 3 . . . . 4 Winterton Street St. George's . . 1 . . 1 . . . . 2 Winter's Buildings Mile End . . . . . . . . . . . . . . Winthrop Street Whitechapel . . . . . . . . . . . . . . Wicker Street St. George's . . . . . . . . . . . . . . Wolsey Street Mile End . . . . . . . . . . . . . . Woodison Street .. Mile End . . . . . . . . . . . . . . Woodside Mansions St. George's . . . . . . . . . . . . . . Wood's Buildings Whitechapel . . . . . . . . . . . . . . Worcester Street St. George's . . 1 . . 2 . . . . 3 Worcester Court St. George's . . . . . . . . . . . . . . Wright's Buildings, Salmon Lane Limehouse . . . . . . . . . . . . . . Wright's Bow St. George's . . . . . . . . . . . . . . X XX Place Mile End . . . . . . . . . . . . . . Y Yalford Street Mile End . . . . 1 1 . . . . 2 Yeomans' Yard Whitechapel . . . . . . . . . . . . . . Yoakley's Buildings Whitechapel . . . . . . . . . . . . . . York Buildings Limehouse . . . . . . . . . . . . . . York Buildings St. George's . . . . . . . . . . . . . . York Place Limehouse . . . . . . . . . . 1 1 York Road Ratcliff . . 1 . . . . . . . . 1 York Square Ratcliff . . . . . . . . . . . . . . Yule Court St. George's . . . . . . . . . . . . . . 119 Return of Infectious Diseases.—continued. Streets. Districts. Puerperal Fever. Baythorne Street Mile End 1 Bedford Street Mile End 1 Belgrave Street Ratcliff 1 Bell Lane Spitalfields 1 Brady Street Mansions Whitechapel 1 Bridge Street Mile End 1 Bromley Street Ratcliff 1 Coutts Road Mile End 1 Duckett Street Mile End 1 Duval Street Spitalfields 2 Great Garden Street Whitechapel 1 Great Pearl Street Spitalfields 1 Hobson's Cottages Mile End New Town 1 Kinder Street St. George's 1 Lombard Street Mile End Now Town 1 Lowell Street Limehouse 1 Nathaniel Buildings Spitalfields 1 Nottingham Place Mile End 1 Potters Buildings Limehouse 1 Providence Street St. George's 1 Robeson Street Mile End 1 Settles Street Mile End 1 Sheridan Street St. George's 1 Sidney Square Mile End 1 Spencer Street St. George's 1 Wentworth Buildings Whitechapel 1 West Street Mile End 1 Whites Row Spitalfields 1 Yeomans Yard Whitechapel 1 Corebrospinal Fever Cornwall Street St. George's 1 Lee Street Limehouse 1 Palmer Street Spitalfields 1 Rhodeswell Road Limehouse and Mile End 1 Station Place St. George's 1 Stepney Green Mile End 1 121 INDEX. A PAGE Alcoholism 45 Articles of Bedding, &c., disinfected 51 Articles of Bedding, &c., destroyed 50 Analyst's Report 66 Proceedings (number of cases) 66 Articles adulterated 72 to 75 Samples purchased by Inspectors 69 Statistics of adulterations, 1910 68 Articles adulterated in various Districts 68 Inspectors' work under the Food and Drugs Acts 71 Sunday samples 67 Unofficial samples 67 Proceedings for Obstruction, &c. 75 Anthrax 50 B Births 2, 3 & 4 Bakehouses, List of, in the Borough 83, 84 & 85 Bacteriological Examinations 11 Butter and Margarine Act, 1907 75 C Cancer 45 Canal Boats, inspection of 52 Charts (Infectious Diseases) between 12 & 13 Cowhouses, List of, in the Borough 85 & 86 Cerebro-Spinal Fever 13 122 D PAGE Deaths 4 Total number of deaths in the Borough 4 Total number of non-residents 4 Total number of residents outside Borough 4 Death-rate in various districts in the Borough 5 Causes of death compared with 1909 5&6 Deaths of residents in outlying institutions 8, 9 & 10 Deaths of residents in public institutions in the Borough 10 Diphtheria and Membranous Croup 12 Diarrhœa 15 Deaths (Homeless) 45 & 46 Dairies and Milkshops in the Borough 53 E Enteric Fever 13 Erysipelas 13 Enteritis 16 F Fines and Costs (total) 76 Factory and Workshop Acts 79 Administration of (tables for Home Office) 80, 81 & 82 G General Sanitary Work 58 & 59 Glanders 50 H Health Visitor, Report on the work of 37 to 44 Housing and Town Planning Act, 1909 66 123 I PAGE Inquests, number and cause of death 6, 7 & 8 Infantile Mortality 36 & 37 Infectious Diseases and the Streets in which they occurred during 1910 89 to 119 Illegitimate Children (Deaths of) 37 Inhabited House Duty 58 M Marriages 4 Measles 14 & 15 Mortuary and Coroner's Court 50 N Notifiable Diseases 10 & 11 O Old Age 44 Other Tubercular Diseases 17 & 18 Deaths from Diseases of a Tubercular Nature in various Districts in the Borough, 1901-1910 18 Overcrowding 59 P Population 1&2 Puerperal Fever 13 Proceedings:— List of, under the Public Health (London) Act, 1891 60, 61, 62 & 63 Under the Food and Drugs Acts 72 to 75 Under the Dairies, Cowsheds and Milkshops Orders 54 Under the Dairies, Cowsheds and Milkshops Orders, and London County Council (General Powers) Act, 1908 53 124 PAGE Under the London County Council (General Powers) Act, 1904, Sections 20 and 22 64 Under the Metropolis Local Management Act, 1855 64 Under Butter and Margarine Act, 1907 75 Under Bye-laws (Section 16) Public Health (London) Act, 1891 64 & 65 Under the London County Council (General Powers) Act, 1908 64 Provision of Sanatorium Treatment for Consumptives 32 to 36 Phthisis:— Total number of Deaths in Borough 17 Deaths in various Districts in the Borough, 1901-1910 17 R Respiratory Diseases 16 S Small Pox 11 & 12 Scarlet Fever 12 Sanitary Inspectors' Report between 58 & 59 Slaughter Houses, List of, in the Borough 86 Statistics:— Table 1. Of whole district during 1910 and previous years between 87 & 89 ,, 2. Population—Births and Deaths Registered 87 & 89 „ 3. Cases of Infectious Diseases notified during the year 1910 87 & 89 „ 4. Causes of, and ages at death, during the year 1910 87 & 89 ,, 5. Infantile mortality during the year 1910 87 & 89 Streets, List of, and the number of Infectious Diseases occurring during 1910 89 & 119 Sanatorium treatment of Consumption 19 to 32 125 PAGE T Tables as suggested by the Medical Officer of Health for the London County Council 76, 77 & 78 Table of Milk Premises, Cowsheds, Slaughter-houses, other Offensive Trades, Ice Cream Premises, and Registered Houses let in Lodgings 76 Number of Intimations served for all purposes 77 Overcrowding 77 Underground rooms 77 Insanitary houses 77 House to House Inspection 78 Number of Places where Food is prepared for Sale 77 Tuberculosis Regulations (Public Health) 18 U Unsound Food:— Proceedings 57 & 58 Destroyed 55 & 56 V Vital Statistics of the whole Borough during the year 1910 and previous years between 87 & 89 Verminous Persons (Cleansing of) 46 to 50 W Whooping Cough 15 Wrong Diagnosis 11 Z Zymotic Diseases 14