20 ISL 31 REPORT of the SANITARY CONDITION OF SAINT MARY, ISLINGTON. FOR JANUARY, 1862. No. LVIII. Notwithstanding the prevalence of a depressed condition of general health, with an appearance of influenza especially observed among persons in easy circumstances, our death-rate, during the past month, has been remarkably low. Had the average deaths of the last five years occurred they would have amounted to 282. The number actually registered was 52 under this number, viz., 230. Attacks of pulmonary disease, which in January last year produced so high a mortality, have this year been much less fatal. The mean mortality of five years (corrected for increased population), from diseases of the organs of respiration is 67. During this last month it has amounted only to 42, or 25 under the average in January. Last year 24 persons suffering from chronic disease of the heart were carried off, this month there have been only 8 deaths from this cause, the mean of the previous four years (un-corrected) being 12. Among the zymotic maladies, continued fever and scarlet fever prevailed extensively. There has as yet been no diminution in the fatality of the latter. Twelve deaths from continued fever have been registered, some of them in newly built houses; the condition of the drainage of these houses has been specially enquired into. The bath man at the Workhouse has died of "typhus" in the Fever Hospital; it is probable that he imbibed the poison of the disease from the vagrants admitted into the tramp ward, four of whom had been sent away to the Fever Hospital, suffering from Typhus. His case is the only one which has occurred among the regular inmates of the House. It is my duty to add, that the overcrowding of houses, and especially of sleeping rooms, is a condition which may alone give rise to Typhus, but that this cause operates more certainly when the disease is epidemic, and favours the reception of the disease on exposure to infection. That Typhus is now prevailing in London is seen by the return from the Fever Hospital, where the resident surgeon is now prostrated with the disease. During the four weeks embraced by this report, 2 one hundred and two cases of Typhus were admitted and only thirteen of Typhoid, which for a long time had been the prevailing form. Of the former, eight were tramps sent from our Workhouse, and one case was sent from 37, Pembroke Street. The other cases from this parish were cases of Typhoid. All the cases of Typhus (with the exception of the bath man) were in young persons between 16 and 21 years of age. The deaths from scarlet fever have been 14 over the mean of five years, 8) The weekly numbers were 6, 5, 6, 5. Three occurred in Frederick Street, two in one house; two in a house in Hilldrop Crescent where the drains were choked up; two in one house in Albion Street, Balls Pond ; and one in a badly drained house in Caledonia Street, respecting which, I have received a complaint from the Medical Officer of the Privy Council. It is said that the demolition of houses occupied by poor people for the construction of the underground railway has caused much overcrowding of this part of the parish. I am consequently instituting a thorough enquiry into the condition of the district No. 14, and have found it necessary to advise the issue of some peremptory notices for improvements. A number of kitchens in Caledonia Street, occupied as sleeping rooms in contravention of the law, have already been freed from their occupants in obedience to these notices. Some months ago, through the courtesy of the Registrar General, I was furnished with the particulars of the census, as taken in blocks by each of the 129 Enumerators employed for the purpose. From the facts thus supplied to me, I have been able to map out the parish into thirty-five sanitary districts. The plan of these will shortly be in the hands of Vestrymen. It will enable me readily to indicate the locality in which any epidemic or infectious disease specially prevails. During the past month the deaths from scarlet fever have occurred thus:— two in No. 2, one in No. 4, seven in No. 6, one in No. 7 and No. 10, two in No. 11, two in No. 14, all in the western half of the Parish; and in the eastern half, one in No. 17 and No. 22, two in No. 26. one in No. 28, and one in No. 31. The deaths from continued fever have occurred irregularly throughout the parish. EDWARD BALLARD, M.D., Medical Officer of Health. Vestry Offices, February 14th, 1862. TABLE I. DEATHS REGISTERED IN ISLINGTON DURING THE FOUR WEEKS ENDING JANUARY 25th, 1862. (Deaths of Non-Residents in Hospitals excluded.) West S.D. East S.D. Causes of Death. At all Ages. Under 20 years of age. At 20 and under 40 years of age. At 40 and under 60 years of age. At 60 and under 80 years of age. At 80 years of age and upwards. West. S.D. East. S.D. Causes of Death. At all Ages. Under 20 years of age. At 20 and under 40 years of age. At 40 and under 60 years of age. At 60 and under 80 years of age. At 80 years of age and upwards. 132 98 All Causes 230 122 31 33 35 9 28 14 3. Respirat. Orgs. 42 18 2 10 11 1 1 .. Laryngitis 1 .. 1 .. .. .. 20 9 Bronchitis 29 13 1 7 7 1 (Classes.) .. .. Pleurisy .. .. .. .. .. .. 37 21 I. ZYMOTIC DIS. 58 45 9 1 2 1 3 3 Pneumonia 6 5 .. .. l .. 3 .. Asthma 3 .. .. 1 2 .. 23 21 II. CONSTITUTL. 44 18 11 10 4 1 1 2 Lung Diseases, &c. 3 .. .. 2 1 .. 49 34 III. LOCAL 83 32 6 21 21 3 3 5 4 Digestive Orgs. 8 1 1 4 2 .. 19 16 IV. DEVELOPMNL. 35 22 1 1 7 4 .. .. Gastritis .. .. .. .. .. .. .. .. Enteritis .. .. .. .. .. .. 3 6 V. VIOLENT DTHS. 9 5 3 .. 1 .. .. .. Peritonitis .. .. .. .. .. .. .. .. Ascites .. .. .. .. .. .. 1 .. Not Specified. 1 .. 1 .. .. .. .. Ulceration of Intst. .. .. .. .. .. .. . . .. Hernia .. .. .. .. .. .. (Orders.) .. Ileus .. .. .. .. .. .. .. .. Intussusception .. .. .. .. .. .. .. .. Stricture of Intesti. .. .. .. .. .. .. 36 20 I. 1. Miasmatic Dis. 56 44 8 1 2 1 .. .. Fistula .. .. .. .. .. .. .. .. Small Pox .. .. .. .. .. .. 1 . . Stomach Disea. &c. l 1 .. .. .. .. 1 l Measles 2 2 .. .. .. Pancraeas Disea.&c. .. .. .. .. .. .. 15 7 Scarlatina 22 21 1 .. .. .. 1 2 Hepatitis 3 .. 1 1 l .. 2 .. Diphtheria 2 2 .. .. .. .. .. .. Jaundice .. .. .. .. .. .. .. .. Quinsey .. .. .. .. .. .. 1 3 Liver Disease 4 3 1 .. 2 .. Croup 2 2 .. .. .. .. .. .. Supleen Diseases .. .. .. .. .. .. 6 3 Hooping Cough 9 9 .. .. .. .. .. 1 5. Urinary Organs 1 .. .. 1 .. .. 5 7 Typhus & Typhoid 12 5 3 1 2 1 .. .. Nephritis .. .. .. .. .. .. 1 .. Erysipelas 1 1 .. .. .. .. .. 1 Disease of Bladder 1 .. .. 1 .. .. 1 l Puerperal Fever 2 .. 2 .. .. .. .. .. Nephria .. .. .. .. .. .. 1 .. Carbuncle and Boil 1 1 .. .. .. .. .. .. Diabetes .. .. .. .. .. .. 1 .. Influenza 1 .. 1 .. .. .. .. .. Stone .. .. .. .. .. .. .. .. Dysentery .. .. .. .. .. .. .. .. Prostate Disease .. .. .. .. .. .. .. .. Diarrhœa .. .. .. .. .. .. .. .. Kidney Disease,&c. .. .. .. .. .. .. .. .. Cholera .. .. .. .. .. .. .. .. 6.Gnera Orgs .. .. .. .. .. .. 1 .. Ague .. .. .. .. .. .. .. .. Ovarian Dropsy .. .. .. .. .. .. 1 .. Rheumatism 2 1 1 .. .. .. .. .. Uterine Diseases .. .. .. .. .. .. 1 .. 2.Enthric 1 1 .. .. .. .. .. .. 7.Orgs.of Locomo. .. .. .. .. .. .. .. .. Syphilis 1 1 .. .. .. .. .. .. .. .. Stricture of Urethra .. .. .. .. .. .. .. .. Spine Disease .. .. .. .. .. .. .. .. Hydrophobia .. .. Bone Diseases .. .. .. .. .. .. .. .. Glanders .. .. .. .. .. .. .. .. 8. Skin, &c .. .. .. .. .. .. .. 1 3.Dietric 1 .. 1 .. .. .. .. .. Phlegmon .. .. .. .. .. .. .. .. Privation .. .. .. .. .. .. .. .. Ulcer .. .. .. .. .. .. .. .. Want of Br. Milk .. .. .. .. .. .. .. .. Skin Diseases .. .. .. .. .. .. .. .. Purpura and Scurvy .. .. .. .. .. .. .. IV. 1. Dis. of childrn 10 10 .. .. .. .. .. l Alcoholism 1 .. 1 .. .. .. 7 8 .. .. 4. Parasitic .. .. .. .. .. 5 3 Premature Birth 8 8 .. .. .. .. .. .. Thrush .. .. .. .. .. .. .. .. Cyanosis .. .. .. .. .. .. .. .. Worms .. .. .. .. .. .. .. .. Spina Bifida .. .. .. .. .. .. .. .. Other Malformats .. .. .. .. .. .. 2 2 II.1.Diathetic 4 .. .. .. 3 1 2 .. Teething 2 2 .. .. .. .. .. .. Gout .. .. .. .. .. .. 2 .. 2. Dis. of Adults 2 .. 1 1 .. .. 1 1 Dropsy 2 .. .. .. 1 l .. Paramenia .. .. .. .. .. .. 1 1 Cancer 2 .. .. .. 2 .. 2 .. Childbirth 2 .. 1 1 .. .. .. .. Noma .. .. .. .. .. .. 5 6 3. Disease of Aged 11 .. .. .. 7 4 .. .. Mortification .. .. .. .. .. .. 5 6 Old Age 11 .. .. .. 7 4 21 19 2. Tubercular 40 18 11 10 1 .. 5 7 4. Dis. of Nutritn. 12 12 .. .. .. .. 1 2 Scrofula 3 3 .. .. .. .. 5 7 Atrophy and Debil. 12 12 .. .. .. .. .. 1 Tabs Mesenterica 1 1 .. .. .. .. 15 10 Phthisis 25 3 11 10 1 .. 2 4 V. 1. Acci. or Neg 6 4 2 .. .. .. 3 6 Hydrocephalus 11 11 .. .. .. .. l .. Fract. & Contusus 1 1 .. .. .. .. .. .. Wounds .. .. .. .. .. .. 14 10 III.1.Nervous Syst. 24 13 3 2 5 1 1 .. Burns and Scalds 1 .. 1 .. .. .. 3 2 Cephalitis 5 3 1 .. 1 .. .. .. Poison .. .. .. .. .. .. 5 1 Apoplexy 6 .. 2 1 2 l .. .. Drowning .. .. .. .. .. .. 2 1 Paralysis 3 .. .. 1 2 .. .. 2 Sufiocation 2 2 .. .. .. .. .. .. Insanity .. .. .. .. .. .. .. 2 Otherwise 2 1 1 .. .. .. .. l Chorea 1 1 .. .. .. .. 1 .. 2. Homicide 1 1 .. .. .. .. .. .. Epilepsy .. •• .. .. .. .. .. 1 3. Suicide 1 .. 1 .. .. .. 4 5 Convulsion 9 9 .. .. .. .. .. 1 Wounds 1 .. 1 .. .. .. .. .. Brain Diseases.&c .. .. .. .. .. .. .. .. Poison .. .. .. .. .. .. 4 4 2. Organs of Cie 8 .. .. 4 3 1 .. .. Drowning .. .. .. .. .. .. .. .. Perrcarditis .. .. .. .. .. .. .. Suffocation .. .. .. .. .. .. .. .. Aneurism .. .. .. .. .. .. .. .. Otherwise .. .. .. .. .. .. 4 4 Heart Disease 8 .. .. 4 3 1 .. 1 4. Unclassed 1 .. .. .. 1 .. TABLE II. NEW CASES OF DISEASE COMING UNDER TREATMENT DURING THE FOUR WEEKS ENDING SATURDAY, THE 25th DAY OF JANUARY, 1862, AT THE FOLLOWING INSTITUTIONS IN ISLINGTON. Workhouse. Infant Poor House. Out-patient Paupers. Islington Dispensary. Holloway Dispensary. Pentonville Convict Prison. London Fever Hospital. Total. Small Pox .. .. 2 .. .. .. .. 2 Chicken Pox .. .. 3 .. 2 .. .. 5 Measles .. .. 5 .. 2 .. .. 7 Scarlatina .. .. 19 2 6 .. 13 40 Hooping Cough .. .. 9 3 11 .. .. 23 Croup .. .. 2 .. .. .. ... 2 Diarrhœa 1 .. 22 3 10 4 .. 40 Dysentery .. .. 1 .. 2 .. .. 3 Cholera .. .. .. . .. .. .. .. Ague .. .. 2 .. 1 .. .. 3 Continued Fever 3 .. 20 4* 14 .. 115† 156 Puerperal Fever .. .. .. .. 2 .. .. 2 Rheumatic Fever .. .. 4 .. 5 .. .. 9 Erysipelas 1 .. 12 4 2 .. .. 19 Diphtheria .. .. .. .. 1 .. .. 1 Sorethroat or Tonsillitis 2 .. 30 6 20 .. .. 58 Pyæmia .. .. .. .. .. .. .. .. Bronchitis and Catarrh 17 .. 332 64 115 42 .. 570 Pneumonia .. .. .. .. 4 .. .. 4 Pleurisy .. .. 1 .. 2 .. .. 3 Delirium Tremens .. .. .. .. .. .. .. .. Insanity 1 .. 1 .. .. .. .. 2 Carbuncle .. .. 1 .. 1 .. .. 2 All other diseases 55 21 489 487 389 129 39 1606 Total 80 21 955 573 589 172 167 2557 * "Typhoid." † 102 of "Typhus," 13 of "Typhoid." TABLE III. HOUSES INSPECTED AND SANITARY IMPROVEMENTS EFFECTED, From December 29th, 1861, to January 25th, 1862. WestSubDistrict. † East SubDistrict. Whole Parish. Number of houses inspected 38 13 51 Drains Constructed 8 1 9 Improved or repaired 4 30 34 Traps fixed 23 19 42 Cesspools Abolished .. 1 1 Cleaned or disinfected .. .. .. Privies and Water Closets Pan, trap, and water supply furnished .. 4 4 Pan and trap only furnished .. .. .. Water supply furnished .. 22 22 Dust-Bins Constructed 1 6 7 Repaired and covers adapted 13 15 28 Surface Drains and Pavements of Yards Constructed .. .. .. Relaid 5 10 15 General Water Supply New receptacle prvided .. 1 1 Receptacle repaired and cleansed .. 16 16 Water supply provided .. 1 1 Other Improvements Houses generally repaired 2 5 7 „ cleansed or limewashed 2 30 32 ,, ventilated .. .. .. Overcrowding abated 1 .. 1 Illegal use of underground Rooms for sleeping discontiuued •• .. •• †Mr SANDERS, Temporary Inspector. 21 REPORT OF THE SANITARY CONDITION OF SAINT MARY, ISLINGTON FOR FEBRUARY, 1862. No. LIX. The number of deaths registered during February was 269, which are 16 over the corrected mean of the previous five years, and 39 above the registered mortality of January. The diseases which have been most fatal have been those of the respiratory organs and scarlet fever. Of the latter 22 cases have died, a similar number to those registered in January. The sanitary districts in which the deaths occurred are as follow:—one occurred in No. 4, two in No. 6, one in No. 7, No. 8, and No. 10, and two in No. 13, all in the western half of the Parish; and in the eastern half, one in No. 16, three in No. 17, two in No. 18, one in No. 22 and No. 24, three in No. 30, one in No. 31, and two in No. 35. The weekly deaths were 9, 5, 4, 4. Eight deaths have been registered from Fever, five of which cases are said to have been "Typhus," viz.: two nurses at the Fever Hospital, one person confined in the City Prison, and one case which was received into the Hospital from Cumming Street North. The fifth case was a tramp sent into the Hospital from the Workhouse. Several improvements have been made in Caledonia Street, but one of the principal nuisances there remains yet unabated. Two hundred and ten persons have been admitted into the Fever Hospital, the majority suffering from Typhus. EDWARD BALLARD, M.D., Medical Officer of Health. Vestry Offices, March 17 th, 1862. TABLE I. DEATHS REGISTERED IN ISLINGTON DURING THE FOUR WEEKS ENDING FEBRUARY 22nd, 1862. (Deaths of Non-Residents in Hospitals excluded.) Vest S.D East S.D. Causes of Death. At all Ages. Under 20 years of age. At 20 and under 40 years of age. At 40 and under 60 years of age. At 60 and under 80 years of age. At 80 years of age and upwards. West. S.D. East. S.D. Causes of Death. At all Ages. Under 20 years of age. At 20 and under 40 years of age. At 40 and under 60 years of age. At 6o and under 80 years of age. At 80 years of age and upwards. 142 127 All Causes 269 125 37 42 53 12 38 22 3. Respirat. Orgs. 60 15 7 10 26 2 1 3 Laryngitis 4 3 .. .. 1 .. 23 13 Bronchitis 36 7 3 7 17 2 (Classes.) 1 .. Pleurisy 1 .. .. .. 1 .. 28 33 I. ZYMOTIC DIS 61 50 3 7 1 .. 7 5 Pneumonia 12 5 4 1 2 .. 6 1 Asthma 7 .. .. 2 5 .. 26 24 II. CONSTITUTL 50 17 18 11 3 1 .. .. Lung Diseases, &c. .. .. .. .. .. .. 64 51 III. LOCAL 118 32 16 24 42 4 4 5 4 Digestive Orgs. 9 1 2 1 5 .. 22 15 IV. DEVELOPMNL 37 24 .. .. 6 7 .. .. Gastritis .. .. .. .. .. .. .. .. Entreritis .. .. .. .. .. .. 2 1 V. VIOLENT DTHS 3 2 .. .. 1 .. .. l Peritonists 1 .. 1 .. .. .. ,. Ascites .. .. .. .. .. .. .. .. Not Specified .. .. .. .. .. .. .. .. Ulceration of Intst .. .. .. .. .. .. .. l Hernia l .. .. .. l .. l .. Heus 1 .. 1 .. .. .. (Orders.) .. .. Intussusception .. .. .. .. .. .. l .. Stricture of Intesti 1 .. 1 .. .. .. 24 32 I. 1. Miasmatic Dis. 56 40 3 6 1 .. .. .. Fistula .. .. .. .. .. .. .. .. Small Pox .. .. .. .. .. .. l l Stomach Disea. &c. 2 1 .. 1 .. .. .. 2 Measles 2 2 ... .. .. .. .. .. Pancreas Disea. &c. .. .. .. .. .. .. 8 14 Scarlatina 22 22 .. .. .. .. l l Hepatitis 2 .. .. .. 2 .. 2 1 Diphtheria 3 3 .. .. .. .. .. .. Jaundice .. .. .. .. .. .. .. 1 Quinsey 1 1 .. .. .. .. .. l Liver Disease 1 .. .. .. 1 .. 2 2 Croup 4 4 .. .. .. .. .. .. Spleen Disease .. .. .. .. .. .. 6 5 Hooping Cough 11 11 .. .. .. .. .. 1 5. Urinary Organs 1 .. 1 .. .. .. 6 2 TyphusTyphoid 6 2 2 4 .. .. .. .. Nephritis .. .. .. .. .. .. .. 1 Erysipelas 1 .. 1 .. .. .. .. .. Disease of Bladder .. .. .. .. .. .. .. .. Puerperal Fever .. .. .. .. .. .. .. .. Nephria .. .. .. .. .. .. .. .. Carbuncle and Boil .. .. .. .. .. .. .. .. Diabetes .. .. .. .. .. .. .. l Influenza 1 .. .. .. 1 .. .. .. Stone .. .. .. .. .. .. .. .. Dysentery .. .. .. .. .. .. .. .. Prostate Disease .. .. .. .. .. .. .. i Diarrhœa 1 1 .. .. .. .. i Kidney Disease,&c. 1 .. 1 .. .. .. .. .. Cholera .. .. .. .. .. .. 1 1 6. Genera. Orgs. 2 .. 1 1 .. .. .. .. Ague .. .. .. .. .. .. .. 1 Ovarian Dropsy 1 .. 1 .. .. .. .. 2 Rheumation 2 .. .. 2 .. .. .. 1 1 2.Enthetic 2 2 .. .. .. .. l .. Uterine Diseases l .. .. 1 .. .. 1 1 Syphilis 2 2 .. .. .. .. 1 .. 7. Orgs.ofLocomo. 1 l .. .. .. .. .. .. Stricture of Urethra .. .. .. .. .. .. l .. Spine Diseases l 1 .. .. .. .. .. .. Hydrophobia .. .. .. .. .. .. .. .. Bone Diseases .. .. .. .. .. .. .. .. Glanders .. .. .. .. .. .. 1 .. 8.Skin,&c. 1 1 .. .. .. .. 3 .. 3.Dietic 3 2 .. l .. .. 1 .. Phlegmon & Cebian l 1 .. .. .. .. .. .. Privation .. .. .. .. .. .. .. .. Ulcer .. .. .. .. .. .. 2 .. Want of Br. Milk 2 2 .. .. .. .. .. .. Skin Diseases .. .. .. .. .. .. .. .. Purpura and Scurvy .. .. .. .. .. .. 3 5 IV. 1 Dis. ofChildrn 8 8 .. .. .. .. 1 .. Alcoholism 1 .. .. .. .. .. .. .. 4. Parasitic .. .. .. .. ... .. 3 3 Premature Birth 6 6 .. .. .. .. .. .. Thrush .. .. .. .. .. .. .. .. Cyanosis .. .. .. .. .. .. .. .. Worms .. .. .. .. .. .. .. .. Spina Bifida .. .. ... .. .. .. .. .. Other Maltormats .. .. .. .. .. .. 4 5 II.1.Diarastic 9 1 1 3 3 1 .. 2. Teething 2 2 .. .. .. .. .. .. Gout .. .. .. .. .. .. .. .. 2. Dis. of Adults .. .. .. .. .. .. 1 2 Dropsy 3 1 .. .. l 1 .. .. Paramenia .. .. .. .. .. .. 3 3 Cancer 6 .. 1 3 2 .. .. .. Childbirth .. .. .. .. .. .. .. .. Noma .. .. .. .. .. .. 8 5 3. Disease of Aged 13 .. .. .. 6 7 .. .. Mortification .. .. .. .. .. .. 8 5 Old Age 13 .. .. .. 6 7 22 19 2. Tubercular 41 16 17 8 .. .. 11 5 4. Dis. of Nutritn. 16 16 .. .. .. .. l .. Scrolula 1 1 .. .. .. .. 11 5 Atrophy and Debil. 16 16 .. .. .. .. .. 3 Tubes Mesenlerica 3 3 .. .. .. .. 18 13 Phthisis 31 6 17 8 .. .. 1 1 V. 1 Acci. or Neg. 2 1 .. .. 1 .. 3 3 Hydrocephalus 6 6 .. .. .. .. 1 Fract. & Contusus. 1 .. .. .. 1 .. 13 16 III. 1. NervousSyst. 29 12 2 6 7 2 .. .. Wounds .. .. .. .. .. .. 1 .. Burns and Scalds l 1 .. .. .. .. l 1 Cephalitis 2 l .. .. 1 .. .. .. Poison .. .. .. .. .. .. 3 3 Apoplexy 6 1 .. 3 2 .. .. .. Drowning .. .. .. .. .. .. 2 3 Paralysis 5 .. .. 1 3 l .. .. Suffocation .. .. .. .. .. .. .. .. Insanity .. .. .. .. .. .. .. .. Otherwise .. .. .. .. .. .. .. .. Chorea .. .. .. .. .. .. 1 .. 2. Homicide 1 1 .. .. .. .. 2 1 Epilepsy 3 .. 1 1 .. 1 .. .. 3. Suicide .. .. .. .. .. .. 3 6 Convulsions 9 9 .. .. .. .. .. .. Wounds .. .. .. .. .. .. 2 2 Brain Diseases, &c. 4 1 l l 1 .. .. .. Poison .. .. .. .. .. .. 6 9 2. Organs of Circ. 15 2 3 6 4 .. .. .. Drowning .. .. .. .. .. .. .. .. Pericarditis .. .. .. .. .. .. .. .. Suffocation .. .. .. .. .. .. 1 .. Aneurism 1 .. 1 .. .. .. .. .. Otherwise .. .. .. .. .. .. 5 9 Heart Disease 14 2 2 6 4 .. .. .. 4. Unclassed .. .. .. .. .. .. TABLE II. NEW CASES OF DISEASE COMING UNDER TREATMENT DURING THE FOUR WEEKS ENDING SATURDAY, THE 22nd DAY OF FEBRUARY, 1862, AT THE FOLLOWING INSTITUTIONS IN ISLINGTON. Workhouse. Infant Poor House. Out-patient Paupers. Islington Dispensary. Hollo way Dispensary. Pentonville Convict Prison. London Fever Hospital. Total. Small Pox .. .. .. .. .. .. .. .. Chicken Pox .. 2 .. .. 3 .. .. 5 Meales .. .. 14 .. 3 .. .. 17 Scarlatina .. .. 11 3 8 .. 11 33 Hooping Cough .. .. 9 1 7 .. .. 17 Croup .. .. 2 .. 2 .. .. 4 Diarrhœa 4 .. 16 2 4 3 .. 29 Dysentery .. .. 2 1 .. .. .. 3 Cholera .. .. .. .. .. .. .. .. Ague .. .. 1 .. .. .. .. 1 Continued Fever .. .. 7 4 20 .. 124* 155 Puerperal Fever .. .. .. .. .. .. 1 1 Rheumatic Fever 1 .. 5 3 2 .. .. 11 Erysipelas .. .. 8 2 2 .. .. 12 Diphtheria .. .. .. •• 2 .. .. 2 Sorethroat or Tonsillitis .. .. 30 5 15 1 2 53 Pyæmia .. .. .. .. .. .. .. .. Bronchitis and Catarrh 21 .. 245 53 99 39 5 462 Pneumonia .. .. 1 3 2 .. 5 11 Plesurisy .. .. 2 .. 2 .. 1 5 Delirium Tremens .. .. .. 1 .. .. .. 1 Insanity 2 .. 3 .. .. .. .. 5 Carbuncle .. .. 1 1 .. .. .. 2 All other diseases 42 11 501 542 436 129 61† 1722 Total 70 13 858 621 607 1 172 210 2551 *118 "Typhus/'and 6 "Typhoid." †This includes diseases not yet specified. HOUSES INSPECTED AND SANITARY IMPROVEMENTS EFFECTED, From January 26th, 1862, to February 22nd, 1862. WestSubDistrict. † East SubDistrict. Whole Parish. Number of houses inspected 61 72 133 Drains Constructed .. 11 11 Improved or repaired 5 18 23 Traps fixed 16 29 45 Cesspools Abolished 1 7 8 Cleansed or disinfected .. .. .. Privies and Water Closets Pan, trap,and water supply furnished 2 6 8 Pan and trap only furnished .. .. .. Water supply furnished 9 20 29 Dust-Bins Constructed 3 4 7 Repaired and covers adapted 20 14 34 Surface Drains and Pavements of Yards Constructed 1 1 2 Relaid 4 22 26 General Water Supply New receptacle provided .. 2 2 Receptacle repaired and cleansed 1 8 9 Water supply provided .. 1 1 Other Improvements Houses generally repaired .. 8 8 ,, cleansed or limewashed 9 14 23 ,, ventilated .. .. .. Overcrowding abated 6 l 7 Illegal use of underground Rooms for slepping discontiuued 11 .. 11 22 REPORT of the SANITARY CONDITION OF SAINT MARY, ISLINGTON FOR MARCH, 1862. No. LX. The registered mortality of the five weeks of March was 285, and as the mean of the corresponding weeks of the previous five years, corrected for increased population, is 309, we may consider that had the same rate of mortality occurred, 24 more deaths would have been recorded. The diseases of the zymotic class which have been the most fatal are Scarlet Fever and Continued Fever. From Scarlet Fever 17 deaths were recorded, the weekly numbers being 4, 2, 6, 2, 3. The number of deaths registered in the previous four weeks was 21. The sanitary districts in which they occurred were as follow:—one in No. 4, two in one house in No. 6, one in No. 8, two in No. 10, three in No. 11, and one in No. 12, in the western half of the Parish; and in the eastern, two in one house in No. 17, and one in No. 18, No. 19, No. 25, No. 30, and No. 32. Inmates of the Workhouse who have been removed to the Fever Hospital and some of whom have died there from Typhus, I am informed by Mr. Ede, were persons who were either engaged in the tramp ward, or whose duty it was to wash articles of clothing for the vagrants. A nurse and a cook at the Fever Hospital are included amongst those who died from Typhus. EDWARD BALLAKD, M.D., Medical Officer of Health. Vestry Offices, April7th, 1862. TABLE I. DEATHS REGISTERED IN ISLINGTON DURING THE FIVE WEEKS ENDING MARCH 29th, 1862. (Deaths of Non-Residents in Hospitals excluded.) West S.D. East S.D. Causes of Death. At all Ages. Under 20 years of age. At 20 and under 40 years of age. At 40 and under 60 years of age. At 60 and under 80 years of age. At 80 years of age and upwards. West S.D. East. S.D. Causes of Death. At all Ages. Under 20 years of age. At 20 and under 40 years of aee. At 40 and unaer 60 years of age. At 60 and under 80 years of age. At 80 years of age and upwards  152 133 All Causes 285 140 46 38 49 12 30 26 3. Respirat. Orgs. 56 30 4 8 13 1 4 I Laryngitis 6 4 1 .. .. .. (Classes.) 17 15 Bronchitis 32 18 1 3 10 .. 1 1 Pleurisv 2 .. 1 1 .. .. 38 35 I. ZYMOTIC DIS 73 49 13 7 3 1 5 8 Pneumonia 13 8 1 2 1 1 30 20 II. CONSTITUTL 50 20 21 7 2 .. 1 1 Asthma 2 .. .. 1 1 .. 2 .. Lung Diseases, &c. 2 .. .. 1 1 .. 62 61 III. LOCAL 123 51 11 24 33 4 5 8 4 Digestive Orgs. 13 1 2 5 5 .. 18 15 IV. DEVELOPMNL 33 17 .. .. 9 7 1 .. Gastritis 1 1 .. .. .. .. .. .. Enteritis .. .. .. .. .. .. 4 1 V. VIOLENT DTHS. 5 2 1 .. 2 .. .. l Peritonitis 1 .. 1 .. .. .. .. 1 Not specified 1 1 .. .. .. .. .. .. Ascites .. .. .. .. .. .. .. .. Ulceration of Intst. .. .. .. .. .. .. .. .. Hernia .. .. .. .. .. .. (Orders.) 1 l Ileus 2 .. .. 2 .. .. .. .. Intrussusception .. .. .. .. .. .. .. .. Stricture of Intesti .. .. .. .. .. .. 36 34 I. 1. Miasmatic Dis. 70 47 13 7 2 1 .. .. Fistula .. .. .. .. .. .. 2 .. Small Pox 2 .. 2 .. .. .. .. l Stomach Disea. &c. 1 .. .. .. l .. 2 4 Measles 6 6 .. .. .. .. .. .. Pancreases Disea,&c .. .. .. .. .. .. 10 7 Scarlatina 17 17 .. .. .. .. .. 2 Hepatitis 2 .. .. 1 1 .. 1 4 Diphtheria 5 4 1 .. .. .. .. .. Jaundice .. .. .. .. .. .. .. .. Quinsey .. .. .. .. .. .. 3 3 Liver Disease 6 .. .. 2 3 .. 1 2 Croup 3 3 .. .. .. .. .. .. Spleen Disease .. .. .. .. .. .. 4 8 Hooping Cough 12 12 .. .. .. .. 1 2 5.Urinary Diseases 3 1 .. 2 .. .. 11 5 Typhus & Typhoid 16 2 8 5 1 .. .. .. Nephritis .. .. .. .. .. .. 3 1 Pupural Fever 3 .. 1 .. 1 1 .. .. Disease of Bladder .. .. .. .. .. .. .. .. Carbuncle and boil 1 .. 1 .. .. .. 1 2 Nephria 3 1 .. 2 .. .. .. .. Influenza .. .. .. .. .. .. .. • • Diabetes .. •• .. .. .. .. 1 .. Dysentrey 1 .. .. 1 .. .. .. .. Stone .. .. .. .. .. .. 1 2 Diarrhœa 3 3 .. .. .. .. .. .. Prostate Disease .. .. .. .. .. .. .. .. Cholara .. .. .. .. .. .. .. .. Kidney Disease,&c. .. .. .. .. .. .. .. .. Auge .. .. .. .. .. .. 1 .. 6. Genera. Orgs. 1 .. .. 1 .. .. .. 1 Rheumatism 1 .. .. 1 .. .. 1 .. Ovarian Dropsy 1 .. .. 1 .. .. .. .. 2.Entheric .. .. .. .. .. .. .. .. Uterine Diseases .. .. .. .. .. .. .. .. Syphilis .. .. .. .. .. .. 1 .. 7, Orgs.of Locomo. .. 1 .. .. .. .. .. .. Stricture of Urethra .. .. .. .. .. .. 1 .. Spine Diseases 1 l .. .. .. .. .. .. Hydriphobia .. .. .. .. .. .. .. .. Bone Diseases .. .. .. .. .. .. .. .. Glanders .. .. .. .. .. .. .. .. 8. Skin, &c .. .. .. .. .. .. 2 1 3. Dietic 3 2 .. .. 1 .. .. .. Pluegmon & Cebian .. .. .. .. .. .. .. 1 Privation 1 .. .. .. 1 .. .. .. Ulcer .. .. .. .. .. .. 2 .. Want of Br. Milk 2 2 .. .. .. .. .. .. Skin Diseases .. .. .. .. .. .. .. .. Purpura and Scurvy .. .. .. .. .. .. 3 6 IV. 1, Dis. ofChildrn 9 9 .. .. .. .. .. .. Alcoholism .. .. .. .. .. .. .. .. 4. Parasitic .. .. .. .. .. .. 2 4 Premature Birth 6 6 .. .. .. .. .. .. Thrush .. .. .. .. .. .. .. .. Cyanosis .. .. .. .. .. .. •• .. Worms .. .. .. .. .. .. .. .. Spina Bifida .. .. .. .. .. .. 3 3 II. 1. Diathetic 6 1 .. 3 2 .. .. .. Other Maltormats. .. .. .. .. .. .. 1 2 Teething 3 3 .. .. .. .. .. .. Gout .. .. .. .. .. .. .. .. 2. Dis. of Adults .. .. .. .. .. .. l .. Dropsy l 1 .. .. .. .. .. .. Paramenia .. .. .. .. .. .. l 3 Cancer 4 .. .. 3 l .. .. .. Childbirth .. .. .. .. .. .. .. .. Noma .. .. .. .. .. .. 11 5 3. Disease of Aged 16 .. .. .. .. .. l .. Mortification 1 .. .. .. 1 .. 11 5 Old Age 1 6 .. .. .. 9 7 27 17 2. Tubercular 44 19 21 4 .. .. 4 4 4. Dis. of Nutritn 8 8 .. .. .. . 2 1 Scrotula 3 3 .. .. .. .. 4 4 Atrophy and Debil. 8 8 .. .. .. .. 2 .. Tabes Mesenlerica 2 2 .. .. .. .. 18 14 Phthisis 32 7 21 4 .. .. 2 1 V.1.Acci,orNeg 3 .. 1 .. 2 .. 5 2 Hydrocephalus 7 7 .. .. .. .. 2 .. Fract. & Contusus. 2 .. .. .. 2 16 14 III. 1. NervousSyst. 30 17 1 4 8 .. .. .. Wounds .. .. .. .. .. . .. .. Burns and Scalds.. 1 .. 1 .. .. .. 3 2 Cephalitis 5 5 .. .. .. .. .. .. Poison .. .. .. .. .. .. 3 3 Apoplexy 6 1 1 l 3 .. .. .. Drowning .. .. .. .. .. .. 1 2 Paralvsis 3 .. .. l 2 .. .. .. Suffocation .. .. .. .. .. .. .. .. Insanity .. .. .. .. .. .. .. .. Otherwise .. .. .. .. .. .. .. .. Chorea .. .. .. .. .. .. 1 .. 2. Homicide 1 1 .. .. .. .. 3 .. Epilepsy 3 1 .. l 1 .. .. .. 3. Suicide .. .. .. .. .. .. 5 5 Convulsions 10 10 .. .. .. .. .. .. Wounds. .. .. .. ,, .. .. 1 2 Brain Diseases, &c. 3 .. .. 1 2 .. .. .. Poison .. .. .. .. .. .. 8 11 2. Organs of Cire. 19 1 4 4 7 3 .. .. Drowning .. .. .. .. .. .. .. 1 Pericarditis 1 .. .. l .. .. .. .. Suffocation .. .. .. .. .. .. i Aneurism 1 .. .. .. 1 .. .. .. Otherwise .. .. .. .. .. .. 7 10 Heart Disease 17 1 4 3 6 3 1 .. 4. Unclassed l 1 .. .. .. .. TABLE II.. NEW CASES OF DISEASE COMING UNDER TREATMENT DURING THE FIVE WEEKS ENDING SATURDAY, THE 29th DAY OF MARCH, 1862, AT THE FOLLOWING INSTITUTIONS IN ISLINGTON.. Workhouse.. Infant Poor House.. Out-patient Paupers.. Islington Dispensary.. Hollo way Dispensary.. Pentonville Convict Prison.. London Fever Hospital.. Total.. Small Pox .. .. 1 .. .. .. Unavoidably omitted 1 Chicken Pox .. .. 2 .. 2 .. 4 Measles .. .. 10 .. 7 .. 17 Scarlatina .. .. 20 5 1 .. 26 Hooping Cough .. .. 12 7 3 .. 22 Croup .. .. .. .. .. .. .. Diarrhœa 2 .. 34 3 12 3 54 Dysentery .. .. 1 1 .. .. 2 Cholera .. .. .. .. .. .. .. Ague .. .. .. • • .. .. .. Continued Fever 3 .. 13 5 13 .. 34 Puerperal Fever 1 .. .. .. .. .. 1 Rheumatic Fever 2 .. 2 6 4 .. 14 Erysipelas 2 .. 9 4 1 .. 16 Diphtheria .. .. 3 1 1 .. 5 Sorethroat or Tonsillitis .. .. 8 3 18 .. 30 Pyaemia .. .. .. .. .. .. .. Bronchitis and Catarrh 25 .. 246 54 91 38 454 Pneumonia 1 .. .. 1 2 .. 4 Pleurisy .. .. 1 .. 1 .. 2 Delirium Tremens .. .. .. .. 1 .. 1 Insanity 4 .. 9 .. 1 .. 14 Carbuncle .. .. 1 1 .. .. 2 All other diseases 58 13 596 698 484 99 1948 Total 98 14 968 789 642 140 2651 TABLE III. HOUSES INSPECTED AND SANITARY IMPROVEMENTS EFFECTED, From February 23rd, 1862, to March 29th, 1862. WestSubDistrict. † East SubDistrict.. Whole Parish. Number of houses inspected 119 131 250 Drains Constructed .. 9 9 Improved or repaired 13 15 28 Traps fixed 10 24 40 Cesspools Abolished 3 7 10 Cleansed or disinfected .. .. .. Privies and Water Closets Pan, trap, and water supply furnished 3 2 5 Pan and trap only furnished .. .. .. Water supply furnished 7 11 18 Dust-Bins Constructed 3 5 8 Repaired and covers adapted 5 2 7 Surface Drains and Pavements of Yards Constructed .. .. .. Relaid 6 7 13 General Water Supply New receptacle provided .. 7 7 Receptacle repaired and cleansed .. 2 2 Water supply provided .. .. .. Other Improvements Houses generally repaired 1 5 6 „ cleansed or limewashed 3 7 10 ,, ventilated .. .. .. Overcrowding abated 6 1 7 Illegal use of underground Rooms for sleeping discontinued •• 2 2 † Mr SANDERS, Temporary Inspector. 23 REPORT OF THE SANITARY CONDITION OF SAINT MARY, ISLINGTON FOR APRIL, 1862. No. LXI. The public health as measured by the mortality, has been better even than it was in the month of March. The number of deaths registered was 212, which is 34 below the corrected average mortality of April for the previous six years (246). The mortality from Scarlatina has continued high, and the number of cases occurring among the poor does not appear to be materially fewer. Of the 16 deaths registered, four occurred (two in one family), in sanitary district No. 4, three (two in one house) in No. 6, and two in No. 14, in the western half of the Parish; and one in Nos. 17, 25, 26, and two in No. 28 and 30, in the eastern half. The weekly deaths were 1, 5, 5, 5. The mortality from Hooping Cough has been slowly increasing for some months; but it has not yet attained by 3, the corrected average for the last six years. Ten deaths have been registered from fever. Eight of these persons were adults, suffering from Typhus; and of these, four had been sent from the Workhouse, and one was a nurse in the Hospital. The Fever Hospital is still full of Typhus cases, and the mortality is consequently high. EDWARD BALLARD, M.D., Medical Officer of Health. Vestry Offices, May 7th, 1862. TABLE I. DEATHS REGISTERED IN ISLINGTON DURING THE FOUR WEEKS ENDING APRIL 26th, 1862. (Deaths of Non-Residents in Hospitals excluded.) West S.D. East s.d. Causes of Death. At all Ages. Under 20 years of age. At 20 and under 40 years of age. At 40 and under 60 years of age. At 60 and under 80 years of age. At 80 years of age and upwards. West. s.d. East. s.d. Causes of Death. At all Ages. Under 20 years of age. At 20 and under 40 years of age At 40 and under 60 years of age. At 60 and under 80 years of age. At 80 years of age and upwards  121 91 All Causes 212 119 24 35 6 6 15 15 3. Respirat. Orgs. 30 15 2 4 8 1 .. .. Laryngitis .. .. .. .. .. .. 9 8 Bronchitis 17 7 1 2 6 1 (Classes.) .. .. Pleurisy .. .. .. .. .. .. 34 25 I. ZYMOTIC DIS 59 47 5 5 1 1 4 7 Pneumonia 11 8 1 1 1 .. 1 .. Asthma 1 . . . . .. 1 .. 26 16 II. CONSTITUTL. 42 20 10 9 3 .. 1 .. Lung Diseases, &c. 1 .. .. 1 .. .. 48 39 III. LOCAL 87 36 7 20 22 2 6 3 4 Digestive Orgs. 9 •• 4 4 .. 1 9 IV. DEVELOPMNL. 20 14 1 •• 2 3 .. 1 Gastritis l .. .. 1 .. .. .. .. Enteritis .. .. .. .. .. .. 2 V. VIOLENT DTHS. 2 .. 1 1 .. .. l .. Peritonitis l .. .. l .. .. .. .. Ascites .. .. .. .. .. .. .. 2 Not Specified 2 2 .. .. .. .. .. .. Ulceration of Intst. .. .. .. .. .. .. .. Hernia .. .. .. .. .. .. .. .. Ileus 1 .. .. .. 1 .. .. .. Intussusception .. .. .. .. .. .. (Orders.) .. .. Stricture of Intesti. .. .. .. .. .. .. 31 22 I. 1. Miasmatic Dis. 53 42 5 4 1 1 .. .. Fistala .. .. .. . . .. .. .. Small pox . . .. .. .. .. .. l .. Stomach Disea.&c 1 .. .. .. 1 .. 2 3 Measles 5 5 .. .. .. .. .. .. Pancreas Disea. &c. .. .. .. l .. .. 9 7 Scarlatina 16 l6 .. .. .. .. 2 .. Hepatitis 2 .. .. l 1 .. .. l Diphtheria 1 1 .. .. .. .. .. 1 Jaundice 1 .. .. .. .. .. .. .. Quinsey .. .. .. .. .. .. 2 .. Liver Disease 2 .. .. 1 1 .. 2 Croup 2 2 .. .. .. .. .. .. Spleen Disease .. .. .. .. .. .. 6 7 HoopingCough 13 13 .. .. .. .. 1 3 5.Urinary Organs 4 .. 1 3 .. .. 8 2 Typhus & Typhoid 10 2 2 4 1 1 .. .. Nephritis .. .. .. .. .. . .. .. Erysipelas .. .. .. .. .. .. .. .. Disease of Bladder .. .. .. .. .. .. 1 1 Puerperal Fever . 2 .. 2 .. .. .. 1 2 Nephria 3 .. 1 2 .. .. • • .. Carbuncle and Boil .. .. .. .. .. .. .. .. Diabetes. .. .. .. .. .. .. .. .. Influenza .. .. .. .. .. .. .. .. Stone .. .. .. .. .. .. .. .. Dysentery .. .. .. .. .. .. .. .. Prostate Disease .. .. .. .. .. .. 3 .. Diarrhœa 3 3 .. .. .. .. .. 1 Kidney Disease, &c. 1 .. .. 1 .. .. .. .. Cholera .. .. .. .. .. .. .. 1 6.Green Orgs. 1 .. 1 .. .. .. .. .. Ague .. .. .. .. .. .. .. .. Ovarin Dropsey .. .. .. .. .. .. .. 1 Rehumatism 1 .. 1 .. .. .. .. 1 Uterine Diseases 1 .. 1 .. .. .. 2 .. 2. Enthetic 2 2 .. .. .. .. .. .. 7. Orgs.ofLocomo. .. .. .. .. .. .. 2 .. Syphilis 2 2 .. .. .. .. .. .. Spine Diseases .. .. .. .. .. .. .. .. Structure of Urethra .. .. .. .. .. .. .. .. Bone Diseases .. .. .. .. .. .. .. .. Hydrophobia .. .. .. .. .. .. .. .. 8.Skin Diseases .. .. .. .. .. .. .. .. Glanders 3 2 .. 1 .. .. .. .. Phlegmon & Cebian .. .. .. .. .. .. 1 2 3.Dietic .. .. .. .. .. .. .. .. Ulcer .. .. .. .. .. .. ] .. Want of Br. Milk l l .. .. .. .. .. .. Skin Diseases .. .. .. .. .. .. .. 2 Purpura and Scurvv 2 l .. 1 .. .. 2 3 .IV. 1. Dis. ofChildrn 5 5 .. .. .. .. .. .. Alcoholism .. .. .. .. .. .. .. 1 4. Farasitic 1 1 .. .. .. .. 1 2 Premature Bath 3 3 .. .. .. . .. 1 Thrush 1 l .. .. .. .. .. .. Cyanosis .. .. .. .. .. .. .. .. Worms .. .. .. .. .. .. .. .. Spina Bifida .. .. .. .. .. . .. .. Other Mailforms .. .. .. .. .. .. 5 2 II.1.Diathetic 7 .. .. 4 3 .. 1 1 Teething 2 2 .. .. .. . 1 1 Gout 2 .. .. 1 1 .. .. 1 2. Dis. of Adults 1 .. 1 .. .. .. .. .. Dropsey .. .. .. .. .. .. .. .. Paramenia .. .. .. .. .. .. 3 1 Cancer 4 .. .. 3 1 .. .. 1 Childbirth 1 .. 1 .. .. .. .. .. Noma .. .. .. .. .. .. 3 2 3. Disease of Aged 5 .. .. .. 2 3 1 .. Mortification 1 .. .. .. 1 .. 3 2 Old Age 5 .. .. .. 2 3 21 14 2.Tubercular 35 20 10 5 .. .. 6 3 4. Dis. of Nutritn. 9 9 .. .. .. .. 3 .. Scrolula 3 2 l .. .. .. 6 3 Atrophy and Debil. 9 9 .. .. .. .. 2 .. Tabes Mesenterica 2 2 .. .. .. .. 10 9 Phthisis 19 5 9 .. .. .. .. .. V. 1. Acci. or Neg. .. .. .. .. .. .. 6 5 Hydrocephalus. 11 11 .. .. .. .. .. .. Fract. & Contusus. .. .. .. .. .. .. .. .. Wounds .. .. .. .. .. .. 18 13 III. 1. Nervous Syst. 31 30 3 2 6 .. .. .. Bones and Scalds .. .. .. .. .. .. 3 1 Cehalitis 4 3 l .. .. .. .. .. Poison .. .. .. .. .. .. 2 1 Apoplexy 3 .. l l l .. .. .. Drowning .. .. .. .. .. .. 1 1 Paralysis 2 .. .. .. 2 .. .. .. Suffocation .. .. .. .. .. .. .. .. Insanity .. .. .. .. .. .. .. .. Otherwise .. .. .. .. .. .. .. .. Cholera .. .. .. .. .. .. .. .. 2. Homicide .. .. .. .. .. .. 1 .. Epilepsy 1 .. .. .. 1 .. 2 .. 3.Suicide 2 .. 1 1 .. .. 10 7 Convulsions 17 17 .. .. .. .. .. .. Wounds .. .. .. .. .. .. 1 3 Brain Diseases,&c. 4 .. 1 1 2 .. .. .. Poison .. .. .. .. .. .. 8 4 2.OrgansofCirc 12 1 .. 7 4 .. .. .. Drowning .. .. .. .. .. .. .. 1 Pericarditis 1 .. .. .. l .. .. .. Suffocation .. .. .. .. .. .. 1 .. Anurism 1 .. .. 1 .. .. 2 .. Otherwise 2 .. 1 1 .. .. 7 3 Heart Disease 10 1 6 3 .. .. .. 4.Unclased .. .. .. .. .. .. TABLE II. NEW CASES OF DISEASE COMING UNDER TREATMENT DURING THE FOUR WEEKS ENDING SATURDAY, THE 26th DAY OF APRIL, 1862, AT THE FOLLOWING INSTITUTIONS IN ISLINGTON. Workhouse. * Infant Poor House. Out-patient Paupers. Islington Dispensary. Holloway Dispensary. Pentonville Convict Prison. London Fever Hospital. Total. Small Pox .. .. .. 1 .. .. Unavoidably omitted. 1 Chicken Pox .. .. 1 1 .. .. 2 Measles .. .. 17 11 1 .. 29 Scarlatina .. .. 15 3 .. .. 18 Hooping Cough .. .. 7 1 9 .. 17 Croup .. .. .. .. .. .. .. Diarrhœa 3 .. 22 5 9 5 44 Dysentery .. .. .. .. .. .. .. Cholera .. .. .. .. .. .. .. Ague .. .. 1 .. 1 .. 2 Continued Fever 2 .. 2 8 6 .. 18 Puerperal Fever .. .. .. .. .. .. .. Rheumatic Fever .. .. 2 1 5 1 9 Erysipelas .. .. 8 4 .. .. 12 Dyphateria .. .. .. .. 3 .. 3 Sorethroat or Tonsillitis .. .. 19 1 11 .. 31 Pyaemia .. .. .. .. .. .. .. Bronchitis and Catarrh 21 .. 191 42 75 31 360 Pneumonia 1 .. .. 1 .. 1 3 Pleurisy .. .. 2 .. .. .. 2 Delirium Tremens .. .. .. .. 1 .. 1 Insanity .. .. 3 .. 1 .. 4 Carbuncle .. .. .. .. • • .. .. All other diseases 18 9 483 510 379 69 1468 Total 45 9 773 589 501 107 2024 * For three weeks only. TABLE III. HOUSES INSPECTED AND SANITARY IMPROVEMENTS EFFECTED, From March 30th, 1S62, to April 26th, 1862. WestSubDistrict. † East SubDistrict. Whole Parish. Number of houses inspected 8 32 40 Drains Constructed 8 25 33 Improved or repaired 7 29 36 Traps fixed 42 64 106 Cesspools Abolished 4 31 35 Cleansed or disinfected .. .. .. Privies and Water Closets Pan, trap, and water supply furnished .. 38 38 Pan and trap only furnished 1 .. 1 Water supply furnished 5 12 17 Dust-Bins Constructed 9 35 41 Repaired and covers adapted 21 5 26 Surface Drains and Pavements of Yards Constructed .. 24 24 Relaid 19 28 47 General Water Supply New receptacle provided .. 9 9 Receptacle repaired and cleansed 2 19 21 Water supply provided .. .. .. Other Improvements Houses generally repaired 3 17 20 „ cleansed or limewashed 6 17 23 „ ventilated .. .. .. Overcrowding abated 5 .. 5 Illegal use of underground Rooms for sleeping discontiuued .. .. .. † Mr SANDERS, Temporary Inspector. 24 REP0RT of the SANITARY CONDITION OF SAINT MARY, ISLINGTON FOR MAY, 1862. No. LXII. With the exception of February, up to the present time I have bad every month to report a mortality considerably below the average. In the four weeks ending on May 24th, the number of deaths of residents in Islington only reached 188, which is 24 below the mortality of April, and 30 below the corrected mean mortality of May for the previous sis years, viz. 218. There have been also but few deaths from any form of zymotic disease; only 25 were registered. Scarlatina appears to have subsided, and at present no other malady has assumed an epidemic character, although from the sickness returns measles appears to be on the increase. EDWARD BALLARD, M.D., Medical Officer of Health. Vestry Offices, May 30th, 1862. TABLE I. DEATHS REGISTERED IN ISLINGTON DURING THE FOUR WEEKS ENDING MAY 24th, 1862. (Deaths of Non-Residents in Hospitals excluded.) West S.D. East S.D. Causes of Death. At all Ages. Under 20 years of age. At 20 and under 40 years of age. At 40 and under 6O years of age. At 60 and under 80 years of age. At 80 years ot age and upwards. West. S.D. East. S.D. Causes of Death. At all Ages. Under 20 years of age. At 20 and under 40 years of age. At 40 and uncer 60 years of age. At 60 and under 80 years of age. At 80 years of age aad upward. 94 94 All Causes 188 99 26 25 32 6 18 14 3. Respirat. Orgs. 32 19 2 2 9 .. 3 1 Laryngitis 4 4 .. .. .. .. 11 8 Bronchitis 19 10 .. 2 7 .. (Classes.) .. .. Pleurisy .. .. .. .. .. .. 14 14 I. ZYMOTIC DIS. 28 22 4 1 1 .. 4 5 Pneumonia 9 5 2 .. 2 .. .. .. Asthma .. .. .. .. .. .. 22 25 II. CONSTITUTL. 47 21 12 12 2 •• •• .. Lung Diseases, &c. .. .. .. .. .. 39 42 III. LOCAL 81 39 5 10 25 2 4 7 4 Digestive Orgs. 11 3 .. 2 . 6 .. 17 10 IV. DEVELOPMNL. 27 13 5 1 4 4 .. 2 Gastritis 2 1 .. 1 .. .. .. .. Enteritis .. .. .. .. .. .. 2 2 V. VIOLENT DTHS. 4 3 •• 1 .. .. .. 2 Peritonitis 2 l .. .. 1 .. .. .. Ascites .. .. .. .. .. .. .. 1 Not Specified 1 1 .. .. .. .. .. .. Ulcerstion of Intst. .. .. .. .. .. .. l .. Hernia 1 .. .. .. 1 .. .. .. Ileus .. .. .. .. . . .. .. Intussusception .. .. .. .. .. .. (Orders.) .. .. Stricture of Intesti .. .. .. .. .. .. 12 13 I. 1. Miasmatic Dis. 25 20 3 1 1 .. .. .. Fistala .. .. .. .. .. .. .. .. Small Pox .. .. .. .. .. .. .. .. Stomach Disease &c, .. .. .. .. .. .. .. 1 Measles 1 1 .. .. .. .. .. .. Pancreas Disea.&c. .. .. .. .. .. .. 2 2 Scarlatina 4 4 .. .. .. .. l 2 Hepatitis 3 .. .. 1 2 .. 1 .. Diphtheria 1 1 .. .. .. .. .. .. Jaundice .. .. .. .. .. .. .. .. Quinsey .. .. .. .. .. .. 2 1 Liver Disease 3 1 .. .. 2 .. 2 .. Croup 2 2 .. .. .. .. .. .. Spleen Disease .. .. .. .. .. .. 3 6 Hooping Cough 9 9 .. .. .. .. 1 1 5.Urinary Organs 2 1 1 .. .. .. 3 2 Typhus & Typhoid 5 1 1 1 .. .. .. .. Nephritis .. .. .. .. .. .. .. .. Erysipelas .. .. .. .. .. .. .. .. Disease of Bladder .. .. .. .. .. .. .. .. Puerperal Fever .. .. .. .. .. .. .. 1 Nephria l 1 .. .. .. .. •• •• Carbuncle and Boil •• .. .. • • .. .. .. .. Diabetes .. .. .. .. .. .. .. .. Influenza •• .. .. .. .. .. .. .. Stone .. .. .. .. .. .. 1 .. Dysentery 1 1 .. .. .. .. .. .. Prostate Disease .. .. .. .. .. .. •• 1 Diarrhœa 1 1 .. .. .. .. 1 .. Kidney Disease,&c. 1 .. .. .. .. .. .. .. Cholera .. .. .. .. .. .. 2 •• 6. Genera. Orgs 2 .. .. 1 1 .. .. .. Ague .. .. .. .. .. .. l .. Ovarian Dropsy l .. .. .. 1 .. .. 1 Rheumatism 1 .. 1 .. .. .. l .. Uterine Diseases l .. .. l .. .. 2 1 2.Entheric 3 2 l .. .. .. .. •• 7. Orgs.of Locomo. .. .. .. .. .. .. 2 1 Syphilis 3 2 1 .. .. .. .. .. Spine Diseases .. .. .. .. .. .. .. .. Stricture of Urethra .. .. .. .. .. .. .. .. Bone Disease .. .. .. .. .. .. .. .. Hydriophobia .. .. .. .. .. .. .. .. 8. Skin, &c .. .. .. .. .. .. .. .. Glanders .. .. .. .. .. .. .. .. Phlegmon & Cebian .. .. .. .. .. .. .. .. 3.Dietic .. .. .. .. .. .. .. .. Ulcer .. .. .. .. .. .. .. .. Want of Br. Milk .. .. .. .. .. .. .. .. Skin Disease .. .. .. .. .. .. .. .. Purpura and Scurvy .. .. .. .. .. 4 .. IV. 1. Dis. of Children 4 4 .. .. .. .. .. .. .. 4. Parasitic .. .. .. • • .. .. 4 .. Premature Birth 4 4 .. .. .. .. .. .. Thrush .. .. • • • • .. .. .. .. Cyanosis .. .. .. .. .. .. .. .. Worms .. .. .. .. .. .. .. .. Spina Bifida .. .. .. .. .. .. 1 3 II.1.Diathetic 4 .. 1 2 1 .. .. .. Other Malforms .. .. .. .. .. .. .. .. Teething .. .. .. .. .. .. .. .. Gout .. .. .. .. .. .. 3 2 2. Dis. of Adults. 5 .. 5 .. .. .. .. .. Dropsey .. .. .. .. .. .. .. .. Paramenia .. .. .. .. .. .. 1 3 Cancer 4 .. l 2 l .. 3 2 Childbirth 5 .. 5 .. .. . .. .. Noma .. .. .. .. .. .. 6 3 3. Disease of Aged 9 .. .. 1 4 4 .. .. Mortification .. .. .. .. .. .. 6 3 Old Age 9 .. .. 1 4 4 21 22 2.Tubercular 43 21 11 10 1 .. 4 5 4. Dis. of Nutritn. 9 9 .. .. .. .. 2 1. Scrotula 3 2 1 .. .. .. 4 5 Atrophy and Debil. 9 9 .. .. .. .. .. 1 Tabes Mesenterica 1 1 .. .. .. .. 13 13 Phthisis 26 t 10 9 1 .. 1 2 V. 1. Acci. or Neg. 3 2 .. l .. .. G 7 Hydrocephalus 13 12 .. 1 .. .. .. 2 Fract. & Contusns. 2 1 .. l .. .. 10 15 III. 1. NervousSyst. 25 15 1 2 6 1 .. .. Wounds .. .. .. .. .. .. .. .. Burns and Scalds .. .. .. .. .. .. 1 2 Cephalitis 3 3 .. .. .. .. .. .. Poison .. .. .. .. .. .. 1 .. Apoplexy 1 .. .. .. 1 .. .. .. Drowing .. .. .. .. .. .. 2 3 Paralysis 5 .. .. 1 4 .. .. .. Suffocation .. .. .. .. .. .. .. .. Insanity .. .. .. .. .. .. 1 .. Otherwise 1 1 .. .. ... .. .. Chorea .. .. .. .. .. .. .. .. 2.Homocide .. .. .. .. .. 1 .. Epilepsy 1 .. .. 1 .. .. .. .. 3. Suicide .. .. .. .. .. .. 3 7 Convulsions 10 10 .. .. .. .. .. .. Wounds .. .. .. .. .. .. 2 3 Brain Diseases, &c 5 2 1 .. 1 1 .. .. Poison .. .. .. .. .. .. 4 5 2. Organs of Circ. 9 1 1 3 3 1 .. .. Drowning .. .. .. .. .. . 1 .. Pericarditis 1 .. .. .. 1 .. .. .. Suffocation .. .. .. .. .. .. .. .. Aneurism .. .. .. .. .. .. .. .. Otherwise .. .. .. .. .. .. 3 5 Heart Disease 8 1 l 3 2 1 1 .. 4. Unclassed 1 1 .. .. .. .. TABLE II. NEW CASES OF DISEASE COMING UNDER TREATMENT DURING THE FOUR WEEKS ENDING SATURDAY, THE 24th DAY OF MAY, 1862, AT THE FOLLOWING INSTITUTIONS IN ISLINGTON. Workhouse. Infant Poor House. Out-patient Paupers. Islington Dispensary. Hollo way Dispensary. Pentonville Convict Prison. London Fevei Hospital. Total. Small Fox .. .. 1 .. .. .. Unavoidably omitted. 1 Chicken Pox .. .. 4 5 3 .. 12 Measles .. .. 39 14 3 .. 56 Scarlatina .. .. 6 3 4 .. 13 Hooping Cough 1 .. 16 5 5 .. 27 Croup .. .. 1 .. .. .. 1 Diarrhœa 5 .. 41 3 8 .. 65 Dysentery .. .. 2 .. .. .. 2 Cholera .. .. .. .. .. .. .. Ague .. .. .. .. .. .. .. Continued Fever .. .. 5 4 8 .. 17 Puerperal Fever .. .. .. .. .. .. .. Rheumatic Fever 1 .. 3 1 3 .. 8 Erysipelas .. .. 6 3 2 .. 11 Diphtheria .. .. .. .. 1 .. 1 Sorethroat or Tonsillitis .. .. 25 6 9 .. 40 Pyæmia .. .. .. .. .. .. .. Bronchitis and Catarrh 7 .. 154 37 44 .. 281 Pneumonia .. .. 1 1 2 .. 4 Pleurisy .. .. 4 .. .. .. 4 Delirium Tremens .. .. .. .. .. .. .. Insanity .. .. 3 .. .. .. 3 Carbuncle .. .. 1 1 .. .. 2 All other diseases 41 13 482 561 404 149 1650 Total 55 13 794 644 496 196 2198 TABLE III. HOUSES INSPECTED AND SANITARY IMPROVEMENTS EFFECTED, From April 27th, 1S62, to May 24th, 1862. WestSubDistrict. † East SubDistrict. Whole Parish. Number of houses inspected 39 .. 39 Drains Constructed 2 7 9 Improved or repaired 10 52 62 [.Traps fixed 19 54 73 Cesspools Abolished 1 9 10 Cleansed or disinfected .. .. .. Privies and Water Closets Pan, trap, and water supply furnished .. 10 10 Pan and trap only furnished 3 .. 3 Water supply furnished 9 31 40 Dust-Bins Constructed 8 13 21 Repaired and covers adapted 2 10 12 Surface Drains and Pavements of Yards Constructed .. 2 2 Relaid 3 19 22 General Water Supply New receptacle provided .. 12 12 Receptacle repaired and cleansed 1 5 6 Water supply provided .. .. .. Other Improvements Houses generally repaired 1 7 .. ,, cleansed or limewashed 3 18 21 „ ventilated .. .. .. Overcrowding abated .. 1 1 Illegal U3e of underground Rooms for slepping discontiuued .. .. .. † Mr SANDERS, Temporary Inspector. 25 REPORT ON THE SANITARY CONDITION OF ST. MARY ISLINGTON, FOR JUNE, 1862. No. LXIII. The mean temperature of tho past month has been on the whole considerably below the average, and with this there has been also a low death rate. The registered mortality from all causes amounted to 238, a number which is 14 below the corrected mean mortality of the previous six years (252). Scarlet fever, however, which appeared to have subsided as an epidemic, has again been prevailing in certain parts of the parish, and the increase ia the number of cases of measles has been very marked. There were thirteen deaths from scarlet fever returned, which is about twice the corrected mean for the previous six years. The deaths from this disease in the western half of the parish all occurred in the immediate neighbourhood of the Caledonian Eoad, in districts 6, 7, and 14. In the eastern half, two occurred in Upper Hollo way, and four in districts to the south of the Lower Road, 27, 31, and 32. The deaths from measles have risen from one to eight, which is the mean mortality of this disease for the month. They took place in 2 immediately adjoining districts to those from scarlet fever, viz., in districts 12, 13? 14, 17, 30, 32, and 34. In the practice of the parochial surgeons alone, the cases of measles have risen from 39 in the four weeks of May to 105 in the five -weeks of June. Nearly all these cases occurred in the Bemerton district (No. 7), in "White Conduit (No. 12), and in the City Boad district (No. 35). In Sidney Grove it has spread from house to house, as epidemic sickness invariably does when it breaks out in that grossly ill-constructed place. The mortality from fever continues high—two of the deaths recorded were of nurses in the Fever Hospital. There were seven deaths from diarrhoea, which is about the average number for June. The deaths from diseases of the organs of respiration were 46, the corrected average for the month being 28. One man is stated to have died after the excessive drinking of ardent spirits and one day's illness from pneumonia. EDWABD BALLARD, M.D., Medical Officer of Health. Vestry Offices, July 8th, 1862. TABLE I. DEATHS REGISTERED IN ISLINGTON DURING THE FIVE WEEKS ENDING JUNE 28, 1862. (Deaths of Non-Residents in Hospitals excluded.) East s .d. Causes of Death. At all Ages. Under 20 years of age. At 20 and under 40 years of age. At 40 and under 60 years of age. At 60 and under 80 years of age. At 80 years of age and upwards West S.D. East S.D. Causes of Death. At all Ages. Under 20 years of age. At 20 and under 40 years of age. At 40 and under 60 years of age. At 60 and under 80 years of age. At 80 years of age and upwards. 110 All Causes 238 127 31 38 33 9 30 16 3. Respiraty. Orgs 46 21 3 9 10 3 ... ... Laryngitis ... ... ... ... ... ... 22 7 Bronchitis 29 12 2 5 8 2 (Classes.) 1 1 Pleurisy 2 1 1 ... ... ... 26 I. ZYMOTIC DIS. 59 50 4 4 ... 1 4 6 Pneumonia 10 7 ... 2 ... 1 1 1 Asthma 2 ... ... 1 1 ... 2S II. C0NSTITUTL 49 13 20 12 4 ... 2 1 Lung Diseases, &c. 3 1 ... 1 1 ... 42 III. LOCAL 94 41 7 20 23 3 ... 4 4. Digestive Orgs. 4 ... 1 2 1 ... ... 1 Gastritis 1 ... 1 ... ... ... 14 IV. DEVELOPMNL. 28 17 ... ... 6 5 ... ... Enteritis ... ... ... ... ... ... 3 V. VIOLENT DTHS. 6 5 ... 1 ... ... ... ... Peritonitis ... ... ... ... ... ... ... Ascites ... ... ... ... ... ... 1 Not Specified 2 1 ... 1 ... ... ... ... Ulceration of Intst. ... ... ... ... ... ... ... Hernia ... ... ... ... ... ... ... Ileus ... ... ... ... ... ... (Orders.) ... ... Intussusception ... ... ... ... ... ... ... ... Stricture of Intesti. ... ... ... ... ... ... 25 I. 1. Miasmatic Dis. 55 48 3 3 ... 1 ... ... Fistula ... ... ... ... ... ... ... Small Pox ... ... ... ... ... ... ... ... Stomach Disea. &c. ... ... ... ... ... ... 5 Measles 8 8 ... ... ... ... ... ... Pancreas Disea. &c. ... ... ... ... ... ... 6 Scarlatina 13 13 ... ... ... ... ... ... Hepatitis ... ... ... ... ... ... 1 Diphtheria 2 1 1 ... ... ... ... ... Jaundice ... ... ... ... ... ... ... Quiney 1 1 ... ... ... ... ... 3 Liver Disease 3 ... ... 2 1 ... 1 Croup 2 2 ... ... ... ... ... ... Spleen Disease ... ... ... ... ... ... 5 Hooping Cough 9 9 ... ... ... ... ... 1 5. Urinary Organs 1 ... ... 1 ... ... 2 Typhus & typhoid 10 5 1 3 ... 1 ... ... Nephritis ... ... ... ... ... ... 1 Erysipelas 2 2 ... ... ... ... ... ... Disease of Bladder ... ... ... ... ... ... ... Puerperal Fever 1 ... 1 ... ... ... ... ... Nephria ... ... ... ... ... ... ... Carbuncle i Diabetes 1 1 ... ... Influenza ... Stone ... ... ... Dysentry ... Prostate Disease... ... ... 4 Diarrhœa 7 7 ... ... ... ... ... ... KidneyDisease, &c. ... ... ... ... ... ... ... Cholera ... ... ... ... ... ... ... ... 6. Genera. Orgs ... ... ... ... ... ... ... Ague ... ... ... ... ... ... ... ... Ovarian Dropsy ... ... ... ... ... ... ... Rheumatism ... ... ... ... ... ... ... ... Uterine Diseases... ... ... ... ... ... ... ... 2. Enthetic ... ... ... ... ... ... ... 1 7. Orgs. of Locomo. 1 1 ... ... ... ... ... Syphilis ... ... ... ... ... ... ... l Spine Diseases 1 1 ... ... ... ... ... Stricture of Urethra ... ... ... ... ... ... ... ... Bone Diseases ... ... ... ... ... ... ... Hydrophobia ... ... ... ... ... ... ... ... 8. Skin, &c. ... ... ... ... ... ... ... Glanders ... ... ... ... ... ... ... ... Phlegmon ... ... ... ... ... ... 1 3. Dietic 4 2 1 1 ... ... ... ... Ulcer ... ... ... ... ... ... ... Privation ... ... ... ... ... ... ... ... Skin Diseases ... ... ... ... ... ... ... Want ot Br. Milk 2 2 ... ... ... ... 4 5 IV.1 Dis. of Childrn 9 9 ... ... ... ... ... Purpura and Scurvy ... ... ... ... ... ... 2 5 Premature Birth 7 7 ... ... ... ... 1 Alcoholism 2 ... 1 1 ... ... ... ... Cyanosis ... ... ... ... ... ... ... 4. Parasitic ... ... ... ... ... ... 1 ... Spina Bifida 1 1 ... ... ... ... ... Thrush ... ... ... ... ... ... ... ... Other Malformats. ... ... ... ... ... ... ... Worms ... ... ... ... ... ... 1 ... Teething 1 1 ... ... ... ... 5 II- 1 Diathetic 13 1 1 7 4 ... ... ... 2 Dis. of Adults ... ... ... ... ... ... ... Gout ... ... ... ... ... ... ... ... Paramenia ... ... ... ... ... ... ... Dropsy 1 1 ... ... ... ... ... ... Childbirth ... ... ... 5 Cancer 12 ... 1 7 4 ... 10 9 3. DiseaseofAged 19 8 ... ... 6 5 ... Noma ... ... ... ... ... ... 6 4 Old Age 10 ... ... ... 6 5 ... Mortification ... ... ... ... ... ... ... ... 4. Dis. of Nutritn. ... ... ... ... ... ... 20 2. Tubercular 36 12 19 5 ... ... 4 5 Atrophy and Debil. 9 8 ... ... 1 ... ... Scrofula 1 l ... ... ... ... 2 V. 1. Acci. or Neg 5 5 ... ... ... ... 1 Tabes Mesenterica ... 1 ... ... ... ... 1 ... Fract. & Contusns. 1 1 ... ... ... ... 14 Phthisis 27 3 19 5 ... ... ... ... Wounds ... ... ... ... ... ... 16 Hydrocephalus ... 7 ... ... ... ... ... ... Burns and Scalds ... ... ... ... ... ... ... ... Poison ... ... ... ... ... ... 14 III. 1. Nervous System 29 17 2 3 7 ... 1 l Drowing 2 2 ... ... ... ... ... Cephalitis 3 1 1 l ... ... 1 l Suffocation 2 2 ... ... ... ... 2 Apoplexy 5 ... ... 1 4 ... ... ... Otherwise ... ... ... ... ... ... 1 Paralysis 2 ... ... ... 2 ... ... ... 2 Homicide ... ... ... ... ... ... ... Insanity ... ... ... ... ... ... 1 ... 3 Suicide 1 ... ... 1 ... ... ... Chorea ... ... ... ... ... ... ... ... Wounds ... ... ... ... ... ... ... Epilepsy 3 2 ... 1 ... ... 1 ... Poision l ... ... 1 ... ... 6 Convulsions 11 11 ... ... ... ... ... ... Drowning ... ... ... ... ... ... 5 Brain Diseases, &c. 5 3 1 ... 1 ... ... ... Suffocation ... ... ... ... ... ... 6 2. Organs of Circ 13 2 1 5 5 ... ... ... Otherwise ... ... ... ... ... ... ... Pericarditis ... ... ... ... ... ... ... ... 4. Unclassed ... ... ... ... ... ... 1 Aneurism 1 ... ... l ... ... 5 Heart Disease 12 2 1 4 5 ... TABLE II. NEW CASES OF DISEASE COMING UNDER TREATMENT DURING THE FIVE WEEKS ENDING SATURDAY, THE 28th DAY OF JUNE, 1862, AT THE FOLLOWING INSTITUTIONS:— Workhouse. Infant Poor House. Out Patient Paupers. Islington Dispensary. Hollo way Dispensary. Pentonville Convict Prison. Total. Small Pox ... ... ... ... ... ... ... Chicken Pox ... 1 7 ... 2 ... 10 Meales ... ... 105 19 3 ... 127 Scarlatina ... ... 7 1 3 ... 11 Whooping Cough ... ... 18 5 6 ... 29 Croup ... ... 1 ... ... ... 1 Diarrhœa 2 ... 47 10 28 7 94 Dysentery ... ... 5 1 1 ... 7 Cholera ... ... ... ... ... ... ... Ague ... ... ... ... ... ... ... Continued Fever 3 ... 8 3 21 ... 35 Puerperal Fever ... ... ... ... 1 ... 1 Rheumatic Sever 1 ... 6 3 1 ... 11 Erysipelas ... ... 9 ... 3 ... 12 Diphtheria ... ... ... ... ... ... ... Sorethrcat or Tonsillitis ... ... 26 6 26 ... 58 Pvæmia ... ... ... ... ... ... Bronchitis and Catarrh 10 ... 174 36 40 35 295 Pneumonia ... ... ... 3 1 ... 4 Pleurisy ... ... 2 1 1 ... 4 Delirium Tremens 1 ... ... ... ... ... 1 Insaniy 2 ... 5 ... ... ... 7 Carbuncle ... ... ... ... ... ... All other Diseases 27 5 566 653 447 153 1851 Total 46 6 986 741 584 195 2558 TABLE III. HOUSES INSPECTED AND SANITARY IMPROVEMENTS EFFECTED, From May 25th, 1862, to June 28th, 1862. West SubDistrict. Fast SubDistrict. Whole Parish. Number of houses inspected 96 11 107 Drains Constructed 3 6 9 Improved or repaired 9 43 52 Traps fixed 28 47 75 Cesspools Abolished 5 14 19 Cleansed or disinfected ... ... ... Privies and Water Closets Pan. trap, and water supply furnished 4 13 17 I an and trap only furnished ... ... ... Water supply furnished 3 32 34 Dust Bins Constructed 9 9 18 Repaired and covers adapted 8 14 22 Surface Drains and Pavements of Yards Constructed ... 7 7 Relaid 5 17 22 General Water Supply New receptacle provided 1 9 10 Receptacle repair, d and cleansed 4 9 13 Water supply provided ... ... ... Other Improvements Houses generally repaired ... 16 16 „ cleansed or limewashed 11 23 34 „ ventilated ... ... ... Overcrowding abated 3 3 6 Illegal use of underground Rooms for sleeping discontinued ... ... ... 26 REPORT on the SANITARY CONDITION OF ST. MARY ISLINGTON, FOR JULY, 1862. No. LXIV. We have passed through another comparatively cool month, the mean temperature of each week having been from 4.6 to 1.5 degrees below the average for 43 years (Greenwich). Although ten more deaths per week have occurred in the parish during the month than occurred in June, the registered mortality, 231, is still 5 below the corrected mean of the previous six years. In my last Report I mentioned the prevalence of measles, principally in the very poor districts of the parish. This, which the sickness table then exhibited, now appears upon the table of mortality, the registered deaths having risen from 8 in five weeks to 17 in four weeks, viz., 6 in the first week, 2 in the second, 5 in the third, and 4 in the fourth. The registered mortality from measles in July of the six previous years was 4, 8, 10, 0, 9, 7. The districts in which they occurred were as follows, viz., 1 in No. 3, 3 in No. 6, 1 in Nos. 7, 9, 10, and 12; 2 in No. 13, 1 in No. 14 in the "Western half of the parish, and in the Eastern, 2 in No. 30, 1 in Nos. 31 and 34, and 2 in No. 35. The disease has continued to prevail extensively during July, but chiefly in the early part of the month. The cases recorded in the books of the parochial surgeons amounted to 93—the weekly numbers being 43, 19, 10, 21, and were mainly in the poor districts Bemerton, Canal, Battle Bridge, and City Road, Nos. 6, 13, 14, and 34. The mortality from scarlet fever has been 11, differing ltttle from that of June. A large number of cases, however, have been recorded, so that the disease appears to have been on the increase. The weekly deaths were 2, 2, 5, 2, viz., 1 at "Wace Cottage in No. 1 district (at which house two infants (died last year), and 1 in Nos. 6, 7, 11, and 13 in the "Western half of the parish, and in the Eastern, 1 in No. 22, and 5 in No. 30 (Lower Eoad), where the disease has been chiefly located. There has also been the unusual number of 7 deaths from croup registered. Bowel complaints have only occasioned 7 deaths, the uncorrected mean of the previous six years being 31. All but one occurred in children under two years of age. The total number of cases attended by the parochial surgeons was only 69, almost as few as were attended by them in the cold July of 1860 (54). The weekly numbers were 9, 26, 18, 16. There has been an unusual number of deaths from heart diseases, viz., 19, -4, 12, 8, andi 6 being the number registered in the several years immediately preceding this. Among the cases of fever which occurred in the workhouse, one was the bathman. his duty being partly to attend to the tramps. He died of typhus in the Fever Hospital on the 29th. His predecessor died of typhus last January, and this man, whom I had recommended to sleep in a different part of the house, declined to avail himself of a privilege which might have tended to protect him from the influence of the poison. I had expressed my anticipation of his being attacked. A death from child-bed fever has also occurred in the workhouse. The time appears to have arrived when the construction of a new workhouse should be seriously entertained. EDWAED BALLARD, M.D., Medical Officer of Health. Vestry Offices, August 2nd, 1862. TABLE I. DEATHS REGISTERED IN ISLINGTON DURING THE FIVE WEEKS ENDING JULY 26, 1862. (Deaths of Non-Residents in Hospitals excluded.) est d. East 8.d. Causes of Death. At all Ages. Under 20 years of age. At 20 and under 40 years of age. At 40 and under 60 years of age. At 60 and under 80 years of age. ; At 80 years of age and upwards West s.d. East s.d. Causes of Death. At all Ages. Under 20 years of age. At 20 and under 40 years of age. At 40 and under 60 years of age. At 60 and under 80 years of age. 1 At 80 years of age and upwards. 16 115 All Causes 231 123 28 37 36 7 15 7 3. Respiraty. Orgs. 22 8 2 5 7 ... ... ... Laryngitis ... ... ... ... ... ... 7 4 Bronchitis 11 3 ... 3 5 ... (Classes.) 1 ... Pleurisy 1 ... ... ... 1 ... 39 29 I. ZYMOTIC DIS 68 61 3 3 1 ... 5 3 Pneumonia 8 5 2 ... 1 ... 1 ... Asthma 1 ... ... 1 ... .. 18 25 II. CONSTITUTE 43 15 13 12 3 ... 1 ... Lung Diseases, &c. 1 ... ... 1 ... ... 2 9 4. Digestive Orgs. 11 5 1 1 3 1 39 46 III. LOCAL 85 26 11 17 27 4 ... 1 Gastritis 1 1 ... ... ... ... 18 12 IV. DEVELOPMNL. 30 19 1 2 5 3 "i 2 Enteritis 3 3 ... ... ... ... 1 I Peritonitis 2 1 1 ... ... ... 2 2 V. VIOLENT DTHS. 4 2 ... 2 ... ... ... 1 Ascites 1 ... ... ... 1 ... ... 1 Not Specified 1 ... ... 1 ... ... ... ... Ulceration of Intst. ... ... ... ... ... ... ... ... Hernia ... ... ... ... ... ... (Orders.) ... I Ileus 1 ... ... 1 ... ... ... Intussusception ... ... ... ... ... ... ... Stricture of Intesti. ... ... ... ... ... ... ... Fistula ... ... ... ... ... ... 36 28 I.1 Miasmatic Dis. 64 57 3 3 1 ... ... "i Stomach Disea. &c. 1 ... ... ... ... 1 ... ... Small Pox ... ... ... ... ... ... ... Pancreas Disea. &c. ... ... ... ... ... ... 11 6 Measles 17 17 ... ... ... ... Hepatitis ... ... ... ... ... ... 5 6 Scarlatina 11 11 ... ... ... ... ... Jaundice ... ... ... ... ... ... 3 ... Diphtheria 3 3 ... ... ... ... 2 Liver Disease 2 ... ... ... 2 ... 2 ... Quinsey 2 1 ... l ... ... ... Spleen Disease ... ... ... ... ... ... 8 4 Croup 7 7 ... ... ... ... ... 2 5. Urinary Organs 2 ... ... 1 1 ... 4 2 Hooping Coagh 6 6 ... ... ... ... ... ... Nephritis ... ... ... ... ... ... 2 3 Typhus & Typhoid 5 4 ... 1 ... ... ... ... Disease of Bladder ... ... ... ... ... ... ... 1 Erysipelas 1 ... ... ... 1 ... ... ... Nephria ... ... ... ... ... ... 3 ... Puerperal Fever 3 ... 3 ... ... ... ... 1 Diabetes 1 ... ... 1 ... ... ... ... Carbuncle ... ... ... ... ... ... ... ... Stone ... ... ... ... .. ... ... ... Influenza ... ... ... ... ... .. ... ... Prostate Disease ... ... ... .. ... ... ... ... Dysentery ... ... ... ... .. ... ... 1 Kidney Disease, &c. 1 .. ... .. 1 ... 3 4 Diarrhœa 7 6 ... 1 ... ... ... 1 6. Genera. Orgs 1 ... ... ... 1 ... ... 2 Cholera 2 2 ... ... ... ... ... 1 Ovarian Dropsy 1 ... ... ... 1 ... ... ... Ague ... ... ... ... ... ... ... ... Uterine Diseases ... ... ... ... ... ... ... ... Rheumatism ... ... ... ... ... ... 1 ... 7. Orgs. of Locomo. 1 ... 1 ... ... ... ... 1 2. Enthetic 1 1 ... ... ... .. 1 ... Spine Diseases 1 ... 1 ... ... ... ... 1 Syphilis 1 1 ... ... ... ... ... ... Bone Diseases ... ... ... ... ... ... ... ... Stricture of Urethra ... ... ... ... ... ... ... 1 8. Skin, &c. 1 ... ... ... 1 ... ... ... Hydrophobia ... ... ... ... ... ... ... 1 Phlegmon 1 ... ... ... 1 ... ... ... Glanders ... ... ... ... ... ... ... ... Ulcer ... ... ... ... ... ... 3 ... 3. Dietic 3 3 ... ... ... ... ... ... Skin Diseases ... ... ... ... ... ... ... ... Privation ... ... ... ... ... ... ... ... Want of Br. Milk 3 3 ... ... ... ... 4 3 IV. 1. Dis of Childrn. 7 7 ... ... ... ... ... ... Purpura andScurvy ... ... ... ... ... .. 4 1 Premature Birth. 5 5 ... ... ... ... ... ... Alcoholism ... ... ... ... ... ... ... ... Cyanosis ... ... ... ... ... ... ... ... 4. Parasitic ... ... ... ... ... ... ... 1 Spina Bifida 1 1 ... ... ... ... ... ... Thrush ... ... ... ... ... ... ... ... Other Malformats. ... ... ... ... ... ... ... ... Worms ... ... ... ... ... ... ... 1 Teething 1 1 ... ... ... ... 2 4 II. 1 Diathetic 6 1 1 1 3 ... ... 2 2. Dis. of Adults 3 ... ... 2 ... ... ... ... Paramenia ... ... ... ... ... ... ... ... Gout ... ... ... ... ... ... 1 ... Childbirth ... ... ... 2 ... ... ... ... Dropsy 1 1 ... ... ... ... 8 ... 3. Disease of Aged 8 ... ... ... 5 3 1 2 Cancer 3 ... 1 1 1 ... 8 Old Age 8 ... ... ... 5 3 ... ... Noma ... ... ... ... ... ... 5 7 4. Dis of Nutritn. 12 12 ... ... ... ... 1 1 Mortification 2 ... ... ... ... ... 5 7 Atrophy and Debil. 12 12 ... ... ... ... 16 21 2. Tubercular 37 14 12 11 ... ... ... ... Scrofula ... ... ... ... ... ... 1 1 V. 1. Acci. or Neg 2 2 ... ... ... ... ... 1 Tabes Mesenterica ... 1 ... ... ... ... Fract. & Contusns. ... ... ... ... ... ... 12 14 Phthisis 26 3 12 11 ... ... ... ... Wounds ... ... ... ... ... ... 4 6 Hydrocephalus 10 10 ... ... ... ... 1 ... Burns and Scalds 1 1 ... ... ... ... 14 14 III. 1. Nervous Syst 28 12 4 3 7 2 ... ... Poison ... ... ... ... ... ... ... Drowning ... ... ... ... ... ... 3 ... Cephalitis 3 3 ... ... ... ... ... ... Suffocation ... ... ... ... ... ... 4 2 Apoplexy 6 ... 1 2 3 ... .. 1 Otherwise ... 1 ... ... ... ... ... 5 Paralysis 5 ... ... ... 4 1 ... ... 2. Homicide ... ... ... ... ... ... ... ... Insanity ... ... ... ... .. ... 1 1 3. Suicide 2 ... ... 2 ... ... ... ... Chorea ... ... ... ... ... ... 1 Wounds 1 ... ... 1 ... ... ••• 1 Epilepsy ... ... ... ... ... ... ... 1 Poison 1 ... ... 1 ... ... 4 3 Convulsions 7 7 ... ... ... ... ... ... Drowning ... ... ... ... ... ... 3 3 Brain Diseases, &c. 6 2 2 1 .. 1 ... ... Suffocation ... ... ... ... ... ... 7 12 2. Organs of Cire. 19 1 3 7 7 1 .. ... Otherwise ... ... ... ... ... ... ... ... Pericarditis ... ... ... ... .. ... ... ... 4. Unclassed ... ... ... ... ... ... ... ... Aneurism ... ... ... ... ... ... 7 12 Heart Disease 19 1 3 7 7 1 TABLE II. NEW CASES OF DISEASE COMING UNDER TREATMENT DURING THE FIVE WEEKS ENDING SATURDAY, THE 26th DAY OF JULY, 1862, AT THE FOLLOWING INSTITUTIONS:— Workhouse. Infant Poor House. Out Patient Paupers. Islington Dispensary. Hollowny Dispensary. Pentonville Convict Prison. Total. Small Pox .. ... 1 1 ... ... 2 Chicken Pox ... ... 1 ... 2 ... 3 Measles ... ... 93 7 6 ... 106 Scarlatina ... ... 13 2 ... .. 15 Whooping Cough ... ... 13 3 13 ... 26 Croup ... ... 2 ... 1 ... 3 Diarrhœa 1 ... 69 17 19 4 110 Dysentery ... ... 1 ... ... ... 1 Cholera ... ... ... ... ... ... ... Ague ... ... 1 ... ... ... 1 Continued Fever 4 ... 5 4 12 ... 25 Puerperal Fever ... ... ... ... ... ... ... Erysipelas 1 ... 2 3 3 ... 9 Diphtheria ... ••• 8 1 2 ... 11 Sorethroat or Tonsillitis ... ... ... ... ... ... ... Pyæmia ... ... 19 6 20 2 47 Bronchitis and Catarrah ... ... ... ... ... ... ... Bronchitis and Catarrh 10 1 114 26 25 18 194 Pneumonia ... ... ... 2 1 ... 3 Pleurisy ... ... 2 ... ... ... 2 Delirium Tremens 3 ... ... ... .. ... 3 Insanity 2 ... 6 .. ... ... 8 Carbuncle ... .. 1 ...... 2 ... 3 All other Diseases 40 5 471 527 348 81 1392 Total 61 6 819 599 454 105 1964 Brickhill and Smith, Contract Printers, Newington Butts, S. TABLE III. HOUSES INSPECTED AND SANITARY IMPROVEMENTS EFFECTED, From June 28th, 1862, to July 26th, 1862. WestSubDistrict. East SubDistrict. "Whole Parish. Number of houses inspected 33 97 130 Drains Constructed 1 16 17 Improved or repaired 9 20 Traps fixed 24 35 59 Abolished 7 17 24 Cleansed or disinfected ... ... ... Privies and Water Closets Pan, trap, and water supply furnished 7 3 10 Pan and trap only furnished 2 3 Water supply furnished 3 15 18 Dust Bins Constructed 5 4 9 Repaired and covers adapted 6 10 16 Surface Drains and Pavements of Yards Constructed ... ... ... Relaid 3 6 9 General Water Supply New receptacle provided 2 1 3 Receptacle repaired and cleansed 3 8 11 Water supply provided 1 ... 1 Other Improvements Houses generally repaired ... 7 7 „ cleansed or limewashed 7 24 31 „ ventilated ... ... ... Overcrowding abated ... ... ... Illegal use of underground Rooms for sleeping discontinued ... ... ... 29 REPORT on the SANITARY CONDITION OF ST MARY ISLINGTON FOR AUGUST, 1802. No. LXV. The registered mortality during the month of August has been less than it was during July, and I have also still to record a death rate considerably lower than the average of the six previous years. The deaths registered in the four weeks amounted to 202; the mean mortality of August, corrected for increase in our population, would have been 225, or 23 more deaths than were actually registered. Measles and scarlet fever have continued to carry off more than their ordinary number of victims. The weekly deaths from measles were 4, 6, 4, 0. They occurred in nearly the same districts as those in July. Three deaths have occurred in one house in Blundell Street, and three in one house in Sidney Grove, City Road. No matter what the epidemic disease may be, I am certain to have to register a high fatality in the last-named place, most of the houses being constructed so as to favour, in every way, the spread of infectious disease, and to impress upon every case that occurs in them a tendency to a fatal termination. The weekly deaths from scarlet fever were 4, 2, 3, 2. They occurred as follows:—2 in No. 7 district, and 1 in Nos. 11 and 13 in the "Western division; and in the Eastern, 2 in No. 24, 1 in No. 27, 3 in No. 30, and 1 in No. 32. The deaths from various forms of bowel complaints amounted to 23, the uncorrected mean of Augugt for six years being 34; the mean weekly temperature, having been from 1 to 2-8 degrees below the average. The number of cases of diarrhoea entered in the books of the parish surgeon were only 115, the average of past six years being 229. EDWARD BALLARD, M.D., Medical Officer of Health. Vestry Offices, Stptember 2nd, 1862. TABLE I. DEATHS REGISTERED IN ISLINGTON DURING THE FOUR WEEKS ENDING AUGUST 23, 1862' (Deaths of Non-Residents in Hospitals excluded.) West s.b. East S.d. Causes of Death. At all Ages. Under 20 years of age. At 20 and under 40 years of age. At 40 and under 60 years of age. At 60 and under 80 years of age. At 80 years of age and upwards West s.d. East S.D. Causes of Death. At all Ages. Under 20 yeais of age. At 20 and under 40 years of age. At 40 and under 60 years of age. At 60 and under 80 years of age. At 80 years of age and upwards. 114 88 All Causes 202 121 24 21 30 6 10 8 3. Respiraty. Orgs. 18 6 ... 4 7 1 (Classes.) ... ... Laryngitis ... ... ... ... ... ... 8 5 Bronchitis 13 4 ... 3 5 1 ... ... Pleurisy ... ... ... ... ... ... 2 2 Pneumonia 4 2 ... ... 2 ... 39 30 I. ZYMOTIC DIS 69 61 2 2 3 1 ... 1 Asthma 1 ... ... 1 ... ... 23 18 II. CONSTITUTL 41 18 13 5 5 ... ... Lung Diseases, &c. ... ... ... ... ... ... 43 21 III. LOCAL 64 23 7 13 19 2 6 2 4. Digestive Orgs. 8 5 2 1 ... ... ... ... Gastritis ... ... ... ... ... ... 7 16 IV. DEVELOPMNL. 23 16 ... 1 3 3 1 ... Enteritis 1 1 ... ... ... ... 2 ... Peritonitis 2 2 ... ... ... ... 2 1 V. VIOLENT DTHS. 3 1 2 ... ... ... ... ... Ascites ... ... ... ... ... ... ... 2 Not Specified 2 2 ... ... ... ... ... ... Ulceration of Intst. ... ... ... ... ... ... ... ... Hernia ... ... ... ... ... ... ... ... Ileus ... ... ... ... ... ... (Orders.) ... ... Intussusception ... ... ... ... ... ... ... ... Stricture of Intesti. ... ... ... ... ... ... 1 ... Fistula 1 1 ... ... ... ... 36 30 I. 1. Miasmatic Dis. 66 58 2 2 3 1 ... 2 Stomach Disea, &c. 2 ... 1 1 ... ... ... ... Small Pox ... ... ... ... ... ... ... ... Pancreas Disea. &c. ... ... ... ... ... ... 10 ... Measles 14 14 ... ... ... ... ... ... Hepatitis ... ... ... ... ... ... 4 7 Scarlatina 11 11 ... ... ... ... 1 ... Jaundice 1 1 ... ... ... ... 1 1 Diphtheria 2 2 ... ... ... ... l ... Liver Disease 1 ... 1 ... ... ... ... ... Quinsey ... ... ... ... ... ... ... ... Spleen Disease ... ... ... ... ... ... ... ... Croup ... ... ... ... ... ... 2 ... 5. Urinary Organs 2 ... ... 1 ... 1 3 3 Hooping Cough 6 6 ... ... ... ... ... Nephritis ... ... ... ... ... ... 3 4 Typhus & Typhoid 7 4 1 1 1 ... ... ... Disease of Bladder ... ... ... ... ... ... ... 1 Erysipelas 1 1 ... ... ... ... 1 ... Nephria 1 ... ... 1 ... ... ... ... Puerperal Fever ... ... ... ... ... ... ... ... Diabetes ... ... ... ... ... ... ... ... Carbuncle ... ... ... ... ... ... ... ... Stone ... ... ... ... ... ... ... ... Influenza ... ... ... ... ... ... ... ... Prostate Disease. ... ... ... ... ... ... ... ... Dysentery ... ... ... ... ... ... 1 ... Kidney Disease, &c. 1 ... ... ... ... 1 13 10 Diarrhœa 23 19 ... 1 2 1 ... 1 6. Genera. Orgs. 1 ... ... ... 1 ... 1 ... Cholera 1 ... 1 ... ... ... ... 1 Ovarian Dropsy 1 ... ... ... 1 ... ... ... Ague ... ... ... ... ... ... ... ... Uterine Diseases ... ... ... ... ... ... 1 ... Rheumatism 1 1 ... ... ... ... ... ... 7. Orgs of Locomo ... ... ... ... ... ... 1 ... 2. Enthetic 1 1 ... ... ... ... ... ... Spine Diseases. ... ... ... ... ... ... 1 ... Syphilis 1 1 ... ... ... ... ... ... Bone Diseases ... ... ... ... ... ... ... ... Stricture of Urethra ... ... ... ... ... ... 1 1 8. Skin, &c. 2 8 ... ... ... ... ... ... Hydrophobia ... ... ... ... ... ... 1 ... Phlegmon 1 1 ... ... ... ... ... ... Glanders ... ... ... ... ... ... ... 1 Ulcer 1 1 ... ... ... ... 2 ... 3. Dietic 2 2 ... ... ... ... ... ... Skin Diseases ... ... ... ... ... ... ... ... Privation ... ... ... ... ... ... 2 ... Want of Br. Milk 2 2 ... ... ... ... 4 1 IV. 1. Dis of Childrn 5 5 ... ... ... ... ... Puipura and Scurvy ... ... ... ... ... ... 3 1 Premature Birth. 4 4 ... ... ... ... ... ... Alcoholism ... ... ... ... ... ... ... ... Cyanosis ... ... ... ... ... ... ... ... 4. Parasitic ... ... ... ... ... ... ... ... Spina Bifida ... ... ... ... ... ... ... ... Thrush ... ... ... ... ... ... ... ... Other Malformats. ... ... ... ... ... ... ... ... Worms ... ... ... ... ... ... 1 ... Teething 1 1 ... ... ... ... ... ... 2. Dis. of Adults ... ... ... ... ... ... 3 3 II. 1. Diathetic 6 1 ... 2 3 ... ... ... Paramenia ... ... ... ... ... ... ... ... Gout ... ... ... ... ... ... ... ... Childbirth ... ... ... ... ... ... ... 1 Dropsy 1 ... ... 1 ... ... 1 6 3. Disease of Aged 7 ... ... 1 3 3 3 1 Cancer 4 ... ... 1 ... ... 1 6 Old Age 7 ... ... 1 3 3 ... ... Noma ... ... ... ... ... ... 2 9 4. Dis of Nutritn 11 11 ... ... ... ... ... 1 Mortification 1 1 ... ... ... ... 2 9 Atrophy and Debil. 11 11 ... ... ... ... 20 15 2. Tubercular 35 17 13 3 2 ... 1 1 V. 1. Acci. or Neg. 2 1 1 ... ... ... 1 1 Scrofula 2 l 1 ... ... ... 1 2 Tabes Mesenterica 3 3 ... ... ... ... ... ... Fract. & Contusns. ... ... ... ... ... ... 12 9 Phthisis 21 4 12 3 2 ... ... ... Wounds ... ... ... ... ... ... 6 3 Hydrocephalus 9 9 ... ... ... ... ... ... Burns and Scalds. ... ... ... ... ... ... 16 4 III. 1. Kervous Syst. 20 9 3 3 5 ... ... ... Poison ... ... ... ... ... ... ... ... Drowning ... ... ... ... .. .. ... 1 Suffocation 1 ... 1 ... ... ... 2 1 Cephalitis 3 3 ... ... ... ... 1 ... Otherwise 1 1 ... ... ... ... 1 ... Apoplexy 1 ... ... ... 1 ... ... ... 2. Homicide ... ... ... ... ... ... 5 1 Paralysis 6 ... 1 3 ... ... ... 3. Suicide ... ... ... ... ... ... 1 ... Insanity 7 ... 1 ... ... ... ... ... Wounds ... ... ... ... ... ... ... ... Chorea ... ... ... ... ... ... ... ... Poison ... ... ... ... ... ... ... ... Epilepsy ... ... ... ... ... ... ... ... Drowning ... ... ... ... ... ... 2 1 Convulsions 3 3 ... ... ... ... ... ... Suffocation ... ... ... ... ... ... 5 1 Brain Diseases, &c. 6 3 1 1 1 ... ... ... Otherwise ... ... ... ... ... ... 8 5 2. Organs of Circ. 13 1 2 4 6 ... 1 1 4. Unclassed 1 ... 1 ... ... ... ... ... Pericarditis ... ... ... ... ... ... ... 1 Aneurism 1 ... ... ... 1 ... 8 4 Heart Disease 12 1 2 4 5 ... TABLE II. NEW CASES OF DISEASE COMING UXDER TREATMENT DURING THE FOUR WEEKS ENDING SATURDAY, THE 23RD DAY OF AUGUST, 1862, AT THE FOLLOWING INSTITUTIONS:— Workhouse. Infant Poor House. Out Patient Paupers. Islington Dispensary. Holloway Dispensary. Pentonville Convict Prison. Total. Small Pox .. ... 2 ... ... ... 2 Chiken Pox ... ... 5 3 1 ... 9 Measles ... ... 36 ... 6 ... 42 Scarlatina ... ... 17 ... ... .. 17 Whooping Cough ... ... 2 5 5 ... 12 Croup ... ... 1 ... ... ... 1 Diarrhœa ... ... 115 26 47 24 212 Dysentery ... •• 2 2 ... ... 4 Cholera ... ... ... 1 ... ... 1 Ague ... ... ... ... •• 1 1 continued Fever 1 ... 12 4 18 ... 35 Puerperal Fever ... ... ... ... ... ... ... Rheumatic Rever ... ... ... 2 ... ... 2 Erysipelas ... ... 7 4 4 ... 15 Diphtheria ... ... ... 3 1 ... 4 Sorethreat or Tonsillitis ... ... 7 4 26 ... 37 Pyæmia ... ... ... ... ... ... ... Bronchitis and Catarrh 5 ... 104 18 37 25 189 Pneumonia ... ... ... ... 4 ... 4 Pleurisy ... ... ... 1 1 ... 2 Delirium Tremens 1 ... 1 ... .. ... 2 Insanity 2 ... 2 •• 1 ... 5 Carbuncle ... •• 1 ... ... 1 All other Diseases 38 13 495 508 332 99 1485 Total 47 13 809 581 483 149 2082 TABLE III HOUSES INSPECTED AND SANITARY IMPROVEMENTS EFFECTED, From July 24th, 1862, to August 23rd, 1862. WestSubDistrict. East SubDistrict. Whole Parish. Number of houses inspected 18 33 51 Drains Constructed 28 1 29 Improved or repaired ... 22 22 Traps fixed 31 14 45 Cesspools Abolished 19 6 25 Cleansed or disinfected ... ... ... Privies and Water closets Pan, trap, and water supply furnished 14 4 18 Pan and trap only furnished ... ... ... Water supply furnished 5 7 12 Dust Bins Constructed 14 2 16 Repaired and covers adapted 2 6 8 Surface Drains and Pavements of Yards constructed ... 3 3 Relaid 7 3 10 General Water Supply New receptacle provided 1 1 2 Receptacle repaired and cleansed 1 3 4 Water supply provided ... 1 1 Other Improve- ments. Houses generally repaired ... 6 6 ,, cleansed or limewashed 6 11 17 „ ventilated ... ... ... ... 2 2 Illegal use of underground Rooms for sleeping discontinued ... 9 9 kick hill amd Smith, Contract Printers, Newington Butts, S. REPORT on the SANITARY CONDITION OF ST. MARY, ISLINGTON, FOR SEPTEMBER, 1862. No. LXYI. I have again to report another month of comparatively low mortality. The deaths registered during the five weeks ending September 27th, were 234; the corrected average of the previous six years being 263. The deaths, therefore, have been less numerous by 29 than they would have been at the rates which have hitherto prevailed in September. The deaths from Scarlet Fever have been more numerous than uBual, 18 having been registered as occurring principally in those districts which lie at the SouthEastern and South-Western parts of the parish. Nine deaths also have been registered from Diptheria, which is about the average of the mortality from this disease in September of the last four years. From Bowel Complaints there have been 22 deaths; our corrected average for September being 31. The deaths from Consumption have been less numerous than in any September since I have had my present office. Among the deaths recorded this month, there have been unhappily four arising directly from the intemperate use of alcoholic drinks; and one of an illegitimate child, a month old, to whom an excessive quantity of syrup of poppies had been given. There can be little doubt that we do not hear of even a small fraction of those infant deaths which actually reBult from the use of soothing drugs. Among the deaths from Typhus is included that of another nurse at the Fever Hospital. I am at present personally engaged in a close enquiry into the condition of the Cow-houses throughout the parish, in order to be in a position to make such recommendation respecting them as may guide the "Vestry in the exercise of its privileges at the ensuing Licensing, under the Amended Local Management Act. EDWARD BALLARD, M.D., Medical Officer of Health. Vestry Offices, October 2nd, 1862. TABLE I. DEATHS REGISTERED IN ISLINGTON DURING THE FIVE WEEKS ENDING SEPTEMBER 27, 1862. (Deaths of Non-Residents in Hospitals excluded.) West S.D. East S.D. Causes of Death. At all Ages. Under 20 years of age. At 20 and under 40 years of age. At 40 and under 60 years of age. At 60 and under 80 years of age. At 80 years of age and upwards West S.D. East S.D. Causes of Death. At all Ages. Under 20 years of age. At 20 and under 40 years of age. At 40 and under 60 years of age. At 60 and under 80 years of age. At 80 years of age and upwards. 112 122 All Causes 234 139 21 34 32 8 12 11 3. Eespiraty. Orgs 23 16 ... 1 6 ... (Classes.) 1 1 Laryngitis 2 1 ... ... 1 ... 8 7 Bronchitis 15 11 1 3 ... ... ... Pleurisy ... ... ... ... ... ... 46 38 I. ZYMOTIC DIS 84 64 7 7 6 ... 2 3 Pneumonia 5 4 ... 1 ... 1 ... Asthma 1 ... ... 1 ... 18 21 II. CONSTITUTE. 39 21 8 8 1 1 ... ... Lung Diseases, &c. ... ... ... ... ... ... 33 41 III. LOCAL 74 29 6 18 21 ... 4 9 4. Digestive Orgs. 18 2 1 6 4 ... ... 2 Gastritis 2 ... ... 1 1 13 20 IV. DEVELOPMNL. 33 22 ... ... 4 7 1 Enteritis 1 ... .. ... 1 1 Peritonitis 1 ... 11 ... ... ... 2 2 V. VIOLENT DTHS. 4 3 ... 1 ... ... 1 1 ... 2 ... ... ... 2 ... ... Not Specified ... ... ... ... ... ... ... ... Ulceration of Intst. ... ... ... ... ... ... ... ... Hernia .. .. ... ... ... .. (Orders.) 1 1 Ileus 2 2 ... ... ... ... ... ... Intussusception ... ... ... ... ... ... 1 ... Stricture of Intesti. 1 ... ... 1 ... ... 41 34 1.1 Miasmatic Dis. 75 60 5 4 6 ... ... ... Fistula ... ... ... ... ... ... 1 2 Stomach Disea. &c 3 ... ... 3 ... ... ... ... Small Pox ... ... ... ... ... ... ... ... Pancreas Disea. &c. ... ... ... ... ... ... 3 2 Measles 5 5 ... ... ... ... ... ... Hepatitis ... ... ... ... ... ... 10 8 Scarlatina 10 17 1 ... ... ... ... ... Jaundice ... ... ... ... ... ... 7 2 Diphtheria 9 9 ... ... ... ... ... 1 Liver Disease 4 ... ... 1 ... ... ... ... Quinsey 1 ... ... ... ... ... ... ... Spleen Disease ... ... ... ... ... ... 1 ... Croup 1 1 ... ... ... ... ... 1 5. Urinary Organs 1 ... ... ... 1 ... 2 2 Hooping Coagh 4 4 ... ... ... ... ... ... Nephritis ... ... ... ... ... ... 7 4 Typhus & Typhoid 11 3 4 3 1 ... ... ... Disease of Bladder ... ... ... ... ... ... 1 3 Erysipelas 4 1 ... ... 2 ... ... 1 Nephria 1 ... ... ... 1 1 ... ... Puerperal Fever ... ... ... ... ... ... ... ... Diabetes ... ... ... ... ... ... ... ... Carbuncle ... ... ... ... ... ... ... ... Stone ... ... ... ... ... ... ... ... Influenza 1 ... ... ... 1 ... ... ... Prostate Disease ... ... ... ... ... ... 1 ... Dysentery 18 17 ... ... 1 ... ... ... Kidney Disease, &c. ... ... ... ... ... ... 8 10 Diarrhoea 3 2 ... ... 1 ... ... 1 6. Genera. Orgs. 1 ... ... 1 ... ... 1 2 Cholera ... ... ... ... ... ... 1 Ovarian Dropsy 1 ... ... 1 ... ... ••• ... Ague ••• ... ... ... ... ... ... ... Uterine Diseases.. ... ... ... ... ... ... ... 1 Rheumatism 1 1 ... ... ... ... 2 ... 7. Orgs. of Locomo. 2 ... ... 2 ... ... ... 1 2. Enthetic 1 ... ... 1 ... ... 1 ... Spine Diseases 1 ... ... 1 ... ... ... ... Syphilis 1 1 ... ... ... ... 1 ... Bone Diseases 1 ... ... 1 ... ... ... ... Stricture of Urethra 1 ... ... ... ... ... ... 1 8. Skin, &c. 1 l ... ... ... ... ... ... Hydrophobia ... ... ... ... ... ... ... ... Phlegmon ... ... ... ... ... ... ... ... Glanders ... ••• ... ... ... ... ... ... Ulcer ... ... ... ... ... ... 5 3 3. Dietic 8 4 2 2 ... ... ... 1 Skin Diseases 1 1 ... ... ... ... ... ... Privation ... ... ... ... ... ... 3 3 IV. 1. Dis. ofChildrn 6 6 ... ... ... 2 1 Want of Br. Milk... 3 8 ... ... ... ... ... 1 Purpura and Scurvy 1 1 ... ... ... ... 2 2 Premature Birth. 4 4 ... ... ... ... 3 1 Alcoholism 4 ... 2 2 ... ... ... 1 Cyanosis 1 ... ... ... ... ... ... ... 4. Parasitic ... ... ... ... ... ... ... ... Spina Bifida ... ... ... ... ... ... ... ... Thrush ... ... ... ... ... ... 1 ... Other Malformats. 1 1 ... ... ... ... ... ... Worms ... ... ... ... ... ... 5 ... Teething ... ... ... ... ... ... 1 3 II. 1. Diathetic 4 ... ... 2 1 1 ... ... 2. Dis. of Adults ... ... ... ... ... ... ... ... Paramenia ... ... ... ... ... ... ... ... Gout ... ... ... ... ... ... ... ... Childbirth ... ... ... ... ... ... ... ... Dropsy ... ... ... ... ... ... 4 7 3. Disease of Aged 11 ... ... ... 4 7 1 2 Cancer 3 ... ... 2 1 ... 4 7 Old Age 11 ... ... ... 4 7 ... ... Noma ... ... ... ... ... ... 6 10 4. Dis of Nutritn. 16 16 ... ... ... ... ... 1 Mortification 1 ... ... ... ... 1 6 10 Atrophy and Debil. 16 16 ... ... ... ... 17 18 2. Tubercular 35 21 8 6 ... ... 1 1 V. 1. Acci. or Ncg. 2 2 ... ... ... ... 2 1 Scrofula 3 2 1 ... 2 3 Tabes Mesenterica 5 5 ... ... ... ... ... ... Fract. & Contusns. ... ... ... ... ... ... 9 9 Phthisis 18 5 7 6 ... ... ... ... Wounds ... ... ... ... ... ... 4 5 Hydrocephalus 9 9 ... ... ... ... ... ••• Burns and Scalds ... ... ... ... ... ... 10 11 III. 1. Nervous Syst 21 8 1 5 7 ... "i ... Poison 1 1 ... ... ... ... ... ... Drowning ... ... ... ... ... ... ... 1 Cephalitis 1 1 ... ... ... ... ... ... Suffocation ... ... 1 ... ... ... 2 2 Apoplexy 4 ... ... 1 3 ... ... 1 Otherwise 1 1 ... ... ... ... 2 1 Paralysis 3 ... ... 1 2 ... ... ... 2. Homicide ... ... ... ... ... ... ... ... Insanity ... ... ... ... ... ... 1 ... 3. Suicide 1 ... ... 1 ... ... ... ... Chorea ... ... ... ... ... ... 1 ... Wound 1 ... ... 1 ... .. 1 ... Epilepsy 1 ... ... 1 ..... ... ... ... Poison ... ... ... ... ... ... 3 4 Con uisions 7 7 ... ... ... ... ... ... Drowning ... ... ... ... ... ... 2 3 Brain Diseases, &c. 5 ... 1 2 2 ... ... ... Suffocation ... ... ... ... ... ... 5 7 2. Organs of Circ 12 2 4 3 3 ... ... ... Otherwise ... ... ... ... ... ... ... 1 4. Unclassed 1 1 ... ... ... ... ... ... Pericarditis ... ... ... ... ... ... 1 Aneurism 1 ... 1 ... ... ... 4 7 Heart Disease 11 2 3 3 3 ... TABLE II. NEW CASES OP DISEASE COMING UNDER TREATMENT DURING THE FIVE WEEKS ENDING SATURDAY, THE 27th DAY OF SEPTEMBER, 1862, AT THE FOLLOWING INSTITUTIONS:— Workhouse. Infant Poor House. Out Patient Paupers. Islington Dispensary. Hollovoy Dispensary. Pentonville Convict Prison. Total. Small Pox .. ... 3 ... ... ... 3 chiken Pox ... ... 2 ... 5 ... 7 Measles ... ... 46 5 6 ... 57 Scarlatina ... ... 21 7 5 ... 33 Whooping Cough 1 ... 9 5 3 ... 18 Croup ... ... ... ... ... ... ... Diarrhœa 6 ... 99 30 60 3 198 Dysentery ... ... ... 1 ... ... 1 cholera ... ... ... ... ... ... ... Ague ... ... ... ... 1 ... 1 Continued Fever 2 ... 27 8 13 ... 50 Puerperal Fever ... ... ... ... ... ... ... Rheumatic Fever 1 ... 1 ... ... ... 2 Ervsipelas ... ... 5 3 4 ... 12 Diphtheria ... ... ... ... 5 ... 5 Sorethrcat or Tonsillitis 1 ... 29 17 16 ... 63 Pytemia ... ... ... ... ... ... ... Bronchitis and Catarrh 3 ... 199 43 74 11 336 Pneumonia ... ... 1 1 5 ... 7 Pleurisy ... ... 2 ... 2 ... 4 Delirium Tremens 1 ... ...... ... .. ... 1 Insanity 2 ... 4 ... ... ... 6 Carbuncle ... .. ... 1 ... ... 1 All other Diseases 42 11 615 729 484 119 2000 Total 59 11 1063 850 683 139 2805 *Four weeks only. TABLE II. HOUSES INSPECTED AND SANITARY IMPROVEMENTS EFFECTED, From August 24th, 1862, to September 27th, 1862. West SubDistrict. East SubDistrict. Whole Parish. Number of houses inspected 30 .. 30 Drains Constructed 6 .. 6 Improved or repaired 10 3 13 Traps fixed 16 7 23 Cesspools Abolished 5 3 8 Cleansed or disinfected ... ... ... Privies and Water Closets Pan, trap, and water supply furnished. 5 3 8 Pan and trap only furnished ... 3 3 Water supply furnihsed 1 4 5 Dust Bins Constructed 1 ... 1 Repaired and covers adapted 2 3 5 Surface Drains and Pavements of Yards Constructed ... 3 3 Repaired and covers adapted 5 3 8 General Water Supply New receptacle provided 2 ... 2 Receptacle repaired and cleansed ... 3 3 Water supply provided ... ... ... Other Improvements Houses generally repaired ... ... ... „ cleansed or limewashed 7 3 10 „ ventilated ... ... ... Other Improve- ments. 2 ... 2 Illegal use of underground Rooms for sleeping discontinued ... ... ... Brickhill and Smith, Contract Printers, Newington Butts, S. 29 REPORT on the SANITARY CONDITION OF ST. MARY, ISLINGTON, FOR OCTOBER, 1862. No. LXYII. The population of Islington has again passed through a comparatively healthy month. Judging by the experience of the last six years, the mortality which was to be expected for the month of October was 216. The actual number of deaths was 205. The zymotic mortality was comparatively low, and would have been still lower had it not been that scarlet fever had become rekindled in certain parts of the parish, producing 17 deaths. Still, during the last four years the mortality in October, from this disease, was 25, 27, 27, 28, Compared with last month, however, the disease appears to have been progressing, the number of cases attended by the parochial surgeons and the two dispensaries being 48 against 33 in the five weeks of September. The weekly mortality was 3, 7, 4, 2; it took place almost solely in Canal, Bemerton, Lower Boad, and Rotherfield Sanitary Districts. Measles have also shown a tendency to increase; the books of the parochial surgeons indicate the Queen's-road, Kingsland, and "White Conduit Districts as those where it has principally prevailed. One of the deaths from typhus was of a head nurse at the Fever Hospital, which is still crowded with patients. In the presence of such an epidemic, which has now lasted for a year, and the certainty of the distress in the North, which has already favoured an outbreak at Preston, being not unfelt in all the great centres of population, especially should the coming winter prove a severe one, we must not be astonished should we hear more than wc have even yet done of this disease in London wherever the poor are crowded together. Diseases of the respiratory organs have produced about the average number of deaths. Consumption has again carried off a smaller number of victims than in any October during the last six years. There have been nine deaths of aged persons counting 80 years and upwards. In addition to the work specified in Table III., 42 Cow-sheds and 64 Slaughter-houses in the eastern division of the parish, and 37 Cow-sheds and 52 Slaughter-houses in the western division, have been visited daring the month, and their condition fully reported on. EDWA.RD BALLARD, M.D., Medical Officer of Health. Vestry Offices, November 1st, 1862. DEATHS REGISTERED IN ISLINGTON DURING THE FOUR WEEKS ENDING OCTOBER 25, 1862. (Deaths of Non-Residents in Hospitals excluded.) West S.D. East S.D. Causes of Death. At all Ages. Under 20 years of age. At 20 and under 40 years of age. At 40 and under 40 years of age. At 60 and under 80 years of age. At 80 years of age and upwards West S.D. East S.D. Causes of Death. At all Ages. Under 20 years of age. At 20 and under 40 years of age. At 40 and under 60 years of age. At 60 and under 80 years of age. At 80 years of age end upwards.  107 98 All Causes 205 107 24 291 36 9 14 9 3. Respiraty Orgs. 23 16 1 ... 5 1 1 ... Laryngitis l 1 ... ... ... ... 11 6 Bronchitis 17 11 ... ... 5 1 (Classes.) .. ... Pleurisy . ... .. ... ... ... 1 3 Pneumonia 4 3 1 ... ... ... 33 25 I. ZYMOTIC DIS 58 44 6 4 2 2 ... ... Asthma ... ... ... ... ... ... 18 20 II. CONSTITUTL 38 11 12 8 6 1 1 .. Lung Diseases, &c. 1 1 ... ... ... ... 9 5 4. Digestive Orgs. 14 2 1 6 5 ... 44 36 III. LOCAL 80 33 5 17 24 1 ... ... Gastritis .. ... ... ... ... ... 11 15 IV. DEVELOPMNL 26 16 1 ... 4 5 1 ... Enteritis 1 1 .. ... ... ... 1 ... Peritonitis 1 ... 1 ... ... ... 1 2 V. VIOLENT DTHS 3 3 ... ... ... ... ... . Ascites ... ... ... ... ... ... ... ... Ulceration of Intst. ... ... ... ... ... ... ... ... Not Specified ... ... ... ... ... ... ... ... Hernia ... ... ... ... ... ... 2 2 Ileus 4 ... ... 1 3 ... (Orders) ... ... Intussusception ... ... ... ... ... ... ... ... Stricture of Intesti. ... ... ... ... ... ... 31 24 I. 1. Miasmatic Dis 55 41 6 4 2 2 ... ... Fistula ... ... ... ... ... ... 1 1 Stomach Disea. &c. 2 ... ... 1 1 ... Small Pox ... ... ... ... ... ... ... ... Pancreas Disea. &c. ... ... ... ... ... ... ... ... Measles ... ... ... ... ... ... 1 ... Hepatitis 1 ... ... 1 ... ... 8 9 Scarlatina 17 17 ... ... ... ... ... 1 Jaundice 1 1 ... ... ... ... 3 1 Diphtheria 4 4 ... ... ... ... 3 1 Liver Disease 4 ... ... 3 1 ... ... ... Quinsey ... ... ... ... ... ... ... ... Spleen Disease ... ... ... ... ... ... 1 ... Croup 1 1 ... ... ... ... ... 1 5. Urinary Organs 1 ... ... ... 1 ... 2 ... Hooping Cough 2 2 ... ... ... ... ... ... Nephritis ... ... ... ... ... ... 5 4 Typhus & Typhoid 9 3 4 1 ... 1 ... ... Disease of Bladder ... ... ... ... ... ... 1 2 Erysipelas 3 ... 1 1 1 ... ... 1 Nephria 1 ... ... ... 1 ... ... ... Puerperal Fever ... ... ... ... ... ... ... ... Diabetes ... ... ... ... ... ... ... ... Carbuncle ... ... ... ... ... ... ... ... Stone ... ... ... ... ... ... ... ... Influenza 1 1 ... ... ... ... ... ... Prostate Disease ... ... ... ... ... ... ... ... Dysentery ... ... ... ... 1 ... ... ... Kidney Disease, &c. ... ... ... ... ... ... 7 3 Diarrhœa 10 8 ... ... ... 1 ... 1 6. Genera. orgs. 1 ... ... 1 ... ... ... 1 Cholera 1 ... ... 1 ... ... ... 1 Ovarian Dropsy 1 ... ... 1 ... ... ... ... Ague ... ... ... ... ... ... ... ... Uterine Diseases ... ... ... ... ... ... 1 1 Rheumatism 2 ... 1 1 ... ... 1 ... 7. Orgs. of Locomo 1 ... ... ... 1 ... ... 1 2 Enthetic 1 1 ... ... ... ... 1 ... Spine Diseases 1 ... ... ... 1 . ... 1 Syphilis 1 1 ... ... ... ... ... ... Bone Diseases ... ... ... ... ... ... ... ... Stricture of Uretlira ... ... ... ... ... ... 3 ... 8. Skin, &c. 3 1 ... 1 1 ... ... ... Hydrophobia ... ... ... ... ... ... 2 ... Phlegmon 2 1 ... 1 ... ... ... ... Gianders ... ... ... ... ... ... 1 ... Ulcer 1 ... ... ... 1 ... 1 ... 3. Dietic 1 1 ... ... ... ... ... ... Skin Diseases ... ... ... ... ... ... ... ... Privation ... ... ... ... ... ... ... 6 IV. 1. Dis of Childrn 6 ... ... ... ... ... 1 ... Want ot Br. Milk. 1 1 ... ... ... ... ... ... Purpura andScurvy ... ... ... ... ... ... ... 2 Premature Birth 2 2 ... ... ... ... ... ... Alcoholism ... ... ... ... ... ... ... 1 Cyanosis 1 1 ... ... ... ... 1 ... 4. Parasitic 1 1 ... ... ... ... ... 2 Spina Bifida 2 2 ... ... ... ... 1 ... Thrush 1 1 ... ... ... ... ... ... Other Malformats. ... ... ... ... ... ... ... ... Worms ... ... ... ... ... ... ... 1 Teething 1 1 ... ... ... ... 3 6 II. 1. Diathetic 9 ... 1 1 6 1 1 ... 2. Dis. of Adults 1 ... 1 ... ... ... ... ... Paramenia ... ... ... ... ... ... ... ... Gout ... ... ... ... ... ... 1 ... Childbirth 1 ... 1 ... ... ... 1 ... Dropsy 1 ... ... ... 1 ... 4 5 3. Disease of Agcd 9 ... ... ... 4 5 2 5 Cancer 7 ... ... ... 4 1 4 5 Old Age 9 ... ... ... 4 5 ... ... Noma ... ... ... ... ... ... 6 4 4. Dis of Nutritn 10 10 ... ... ... ... ... 1 Mortification 1 ... ... ... 1 ... 6 4 Atrophy and Debil. 10 10 ... ... ... ... 15 14 2. Tubercular 29 11 11 7 ... ... 1 2 V. 1. Acci. or Neg. 3 3 ... ... ... ... 1 2 Scrofula 3 3 ... ... ... ... ... 1 Tabes Mesenterica 1 1 ... ... ... ... ... 1 Fract. & Contusns. 1 1 ... ... ... ... 13 7 Phthisis 20 2 11 7 ... ... ... ... Wounds ... ... ... ... ... ... 1 4 Hydrocephalus 5 5 ... ... ... ... ... ... Burns and Scalds.. ... ... ... ... ... ... ... ... Poison ... ... ... ... ... ... 12 13 III. 1. Nervous Syst. 25 14 1 5 5 ... ... ... Drowning ... ... ... ... ... ... ... ... Suffocation 2 2 ... ... ... ... 2 2 Cephalitis 4 4 ... ... ... 2 6 Apoplexy 7 ... 1 4 2 ... ... ... Otherwise ... ... ... ... ... ... .. 2 Paralysis 2 ... ... 1 1 ... ... ... 2. Homicide ... ... ... ... ... ... ... ... Insanity ... ... ... ... ... ... ... ... 3. Suicide ... ... ... ... ... ... ... ... Chorea ... ... ... ... ... ... ... ... Wounds ... ... ... ... ... ... ... ... Epilepsy ... ... ... ... ... ... ... ... Poison ... ... ... ... ... ... 6 3 Con ulsions 9 9 ... ... ... ... ... ... Drowning ... ... ... ... ... ... 2 1 Brain Diseases, &c. 3 1 ... ... 2 ... ... ... Suffocation ... ... ... ... ... ... 5 7 2. Orga of Circ. 12 ... 2 4 6 ... ... ... Otherwise ... ... ... ... ... ... ... ... 4. Unclassed ... ... ... ... ... ... ... ... Pericarditis ... ... ... ... ... ... 2 Aneurism 2 ... ... 1 1 ... 3 7 Heart Disease 10 ... 2 3 5 ... TABLE II. NEW CASES OF DISEASE COMING UNDER TREATMENT DURING THE FIVE WEEKS ENDING SATURDAY, THE 25TH DAY OF OCTOBER, 1862, AT THE FOLLOWING INSTITUTIONS:— Workhouse. Infant Poor House. Out Patient Paupers. Islington Dispensary. Hollo-way Dispensary. Pen ton villie Convict Prison. Total. Small Pox .. ... 1 1 1 1 4 Chicken Pox ... ... 3 4 2 ... 9 Measles ... ... 37 ... 19 ... 56 Searlatina ... ... 30 15 3 .. 48 Whooping Cough 3 ... 16 3 5 ... 27 Croup ... 1 ... ... ... 1 Diarrœa 6 ... 81 19 35 5 146 Dysentery ... .. 4 ... ... ... 4 Cholera ... ... ... ... ... .... ... Ague ... ... ... ... 1 ... 1 Continued Fever 1 ... 9 3 3 ... 16 Puerperal Fever ... ... ... ... ... ... ... Rheumatic Fever 2 ... 3 ... 2 1 8 Erysipelas ... ... 5 1 2 ... 8 Diphtheria ... ... 1 ... ... ... 1 Sorethroat or Tonsillitis ... ... 35 4 22 1 62 Pyæmia ... ... ... ... ... ... ... Bronchitis and Catarrah 8 ... 180 40 72 41 341 Pneumonia ... ... ... ... 3 ... 3 Pleurisy ... ... 2 ... 1 ... 3 Delirium Tremens ... ... ... ... 1 ... 1 Insanity 2 ... 3 .. ... 1 6 Carbuncle ... •• ... ... ... ... .. All other Diseases 41 8 493 550 334 181 1607 Total 63 8 904 640 506 231 2352 * Five weeks TABLE III. HOUSES INSPECTED AND SANITARY IMPROVEMENTS EFFECTED, From September 28th, 1862, to October 25th, 1862. West SubDistrict. East SubDistrict. Whole Parish. Number of houses inspected ... ... ... Drains Constructed 2 2 4 Improved or repaired 9 12 21 Traps fixed 4 12 16 Cesspools Abolished ... 1 1 Cleansed or disinfected ... ... ... Privies and Water Closets Pan, trap, and water supplv furnished ... 2 2 Pan and trap only furnished ... ... ... Water supply furnished 2 6 7 Dust Bins C onstructed 17 .. 17 Repaired and covers adapted 1 2 3 Surface Drains and Pavements of Yards J Constructed ... 2 2 Belaid 3 3 6 General Water Supply New receptacle provided ... ... ... Receptacle repaired and cleansed ... 2 2 Water supply provided ... ... ... Other Improvements Houses generally repaired ... 1 1 „ cleansed or limewashed ... 2 2 „ ventilated ... ... ... Overcrowding abated 3 ... 3 Illegal use of underground Rooms for sleeping discontinued ... ... ... Brickhill and Smith, Newington Butts, S., Printers to the Metropolitan Board of Works. 30 REPORT on the SANITARY CONDITION OF ST. MARY, ISLINGTON, FOR NOVEMBER, 1862. No. LXVIII. A cold month, the temperature having been below the average during nearly the whole of the four weeks, together with a marked prevalence of measles and scarlet fever, has had an unfavourable influence upon our death rate. For the first time since February it has not been below the mean of the previous six years. The number of deaths registered was 282; the mean of the previous six years augmented by 2-11ths for the increase of population was 255. Hence the deaths in the four weeks amounted to 27 more than they would have done had the average rate of death prevailed. The deaths from the zymotic class of maladies amounted to 91, and included 18 from measles, 25 from scarlet fever, 12 from whooping cough, and 12 from fever, several of which are stated to have been cases of typhus. Each of these diseases then has been more fatal than during the month of October. The weekly deaths from measles were 3, 4, 8, 3. The districts in which they occurred were Lower Holloway, Bemerton, Park-street, White Conduit and Canal districts in the western division, and Archway, Hornsey-road, Queen'sroad, Ball's-pond, Kingsland, Mildmay, and Lower-road districts in the eastern division. The greatest number occurred in the neighbourhood of the Queen's road. The weekly deaths from scarlet fever were 5, 6, 8, 6. Of these, one occurred in Highgate-hill, 3 in Belle Isle, 5 in Bemerton, 2 in Barnsbury, 4 in Canal, and 1 in Battle-bridge districts in the western division of the parish; while, in the eastern division, 1 occurred in the Archway district, 1 in Kingsland district, and the remainder in the neighbourhood of the Lower-road. Still the number of deaths from scarlet fever have not amounted to what was registered in November, 1858, (29) or in 1859, (38). Two deaths from small pox in unvaccinated children, one aged 9 months, the other aged 2 years, have taken place. A third death, counted into small pox on the table, was registered as from “Varicella.” Seeing that this disease has been of late more prevalent than usual, 9 cases having occurred in the practice of the parochial surgeons and dispensaries, I took the liberty of suggesting to the Board of Trustees the desirableness of requesting their vaccinators to exercise vigilence in seeking out unprotected children. Among the deaths from heart disease is registered, for the first time, a death from “embolia,” a form of disease only recently recognised by the profession, and consisting in the plugging up of some important vessel (in this case, of the pulmonary artery) with a clot of blood. Deaths of this kind have formerly been considered as due to syncope or fatal fainting, apoplexy, mortification, &c., or have been altogether inexplicable by pathologists. One infant, aged 6 months, died from convulsions induced by swallowing a portion of bullock's heart. The table of sickness shows that measles is still on the increase, especially in the districts attended by the officers of the Hollo way Dispensary, and that scarlet fever shows at present no indication of declining. EDWARD BALLARD, M.D., Medical Officer of Health. Veatry Offices, November 29th, 1862. TABLE I. DEATHS REGISTERED IN ISLINGTON DURING THE FOUR WEEKS ENDING NOVEMBER 22, 1862. (Deaths of Non-Residents in Hospitals excluded.) West S.d. East s.d. Causes of Death. At all Ages. Under 20 years of age. At 20 and under 40 years of age. At 40 and under 60 years of age. At 60 and under 80 years of age. At 80 years of age and upwards West s.d. East s.d. Causes of Death. At all Ages. Under 20 years of age. At 20 and under 40 years of age. At 40 and under 60 years of a*;e. At 60 and under 80 vears of age. At 80 years of age and upwards. 152 130 All Causes 282 150 38 46 42 6 13 28 3. Kespiraty. Orgs. 41 19 ... 4 15 3 ... ... Laryngitis ... ... ... ... ... ... (Classes.) 10 18 Bronchitis 28 11 ... 2 12 3 1 ... Pleurisy 1 ... ... 1 ... ... 52 39 C. ZYMOTIC DIS 91 76 10 1 4 ... 1 9 Pneumonia 10 8 ... ... 2 ... ... 1 Asthma 1 ... ... 1 ... ... 33 25 II. CONSTITUTE 58 19 18 16 5 ... 1 ... Lung Diseases, &c., 1 ... ... ... ... ... 50 56 III LOCAL 106 35 9 28 29 5 4 4 4. Digestive Orgs. 8 1 1 5 1 ... ... ... Gastritis ... ... ... ... ... ... 15 10 IV. DEVELOPMNL 25 20 ... ... 4 1 ... 1 Enteritis 1 ... ... ... 1 ... 2 ... V. VIOLENT DTHS. ... ... 1 1 ... ... ... 1 Peritonitis 1 ... 1 ... ... ... ... ... Ascites ... ... ... ... ... ... ... ... Not Specified ... ... ... ... ... ... ... ... Ulceration of Intst. ... ... ... ... ... ... ... ... Hernia ... ... ... ... ... ... (Orders.) ... ... Ileus ... ... ... ... ... ... ... ... Intussusception ... ... ... ... ... ... ... ... Strict ure of Intesti. ... ... ... ... ... ... 51 37 I. 1. Miasmatic Dis. 88 74 9 1 4 ... ... ... Fistula ... ... ... ... ... ... 2 1 Small Pox 3 3 ... ... ... ... 1 ... Stomach Disea. &c. 1 ... ... 1 ... ... 7 11 Measles 18 18 ... ... ... ... ... ... Pancreas Disea. &c ... ... ... ... ... ... 18 7 Scarlatina 25 26 ... ... ... ... 1 ... Hepatitis 1 ... ... 1 ... ... ... ... Diphtheria ... ... ... ... ... ... 1 ... Jaundice 1 1 ... ... ... ... ... ... Quinsey ... ... ... ... ... ... 1 2 Live Disease 3 ... ... 3 ... ... ... ... Croup ... ... ... ... ... ... ... ... Spleen Disease ... ... ... ... ... ... ... 5 Hooping Cough 12 12 ... ... ... ... ... ... 5. Urinary organs ... ... ... 3 3 1 4 8 Typhus & Typhoid 13 5 5 ... 2 ... ... ... Nephritis ... ... ... ... ... ... ... ... Disease of Bladder ... ... ... ... ... ... 1 1 Erysipelas 2 1 ... ... 1 ... ... ... Nephria ... ... ... ... 1 ... 3 ... Puerperal Fever 3 ... 2 ... ... ... ... ... Diabetes ... ... ... ... ... ... ... ... Carbuncle ... ... ... ... ... ... ... ... Stone 1 ... ... 1 ... ... ... ... Influenza ... ... ... ... ... ... 1 ... Prostate Disease 1 ... ... ... ... 1 1 ... Dysentery 1 1 ... ... ... ... 3 ... Kidney Disease, &c., 4 ... ... 2 2 ... 5 ... Diarrhœa 8 8 ... ... ... ... 1 1 6. Genera. Orgs., 2 ... ... 1 1 ... ... ... Cholera ... ... ... ... ... ... 1 ... Ovarian Dropsy 1 ... ... ... 1 ... ... ... Ague ... .... ... ... ... ... ... 1 Uterine Di eases. 1 ... ... ... ... ... ... 1 Rheumatism 4 1 1 1 1 ... ... ... 7. Orgs, of Locomo ... ... ... ... ... ... ... ... 2 Enrhetic ... ... ... ... ... ... ... ... Spine Diseases ... ... ... ... ... ... ... ... Syphilis ... ... ... ... ... ... ... ... Bone Diseases ... ... ... ... ... ... ... ... Stricture of Urethra ... ... ... ... ... ... ... ... 8. Skin, &c. ... ... ... ... ... ... ... ... Hydrophobia ... ... ... ... ... ... ... ... Phlegmon ... ... ... ... ... ... ... ... Glanders ... ... ... ... ... ... ... ... Ulcer ... ... ... ... ... ... ... 2 3. Dietic 2 1 1 ... ... ... ... ... Skin Diseases ... ... ... ... ... ... ... ... Privation ... ... ... ... ... ... ... ... Want ot Br. Milk 1 ... ... ... ... ... 6 1 IV. 1. Dis. of Childrn 7 7 ... ... ... ... ... ... Purpura and Scurvy ... ... ... ... ... ... 5 1 Premature Birth 6 6 ... ... ... ... ... 1 Alcoholism 1 ... 1 ... ... ... ... ... Cyanosis ... ... ... ... ... ... 1 ... 4. Parasitic 1 1 ... ... ... ... ... ... Spina Bifida ... ... ... ... ... ... 1 ... Thrush l l ... ... ... ... l ... Other Malformats. 1 ... ... ... ... ... ... ... Worms ... ... ... ... ... ... ... Teething ... ... ... ... ... ... ... ... 2. Dis. of Adults ... ... ... ... ... ... 9 ... II. 1 Diathetic 9 ... ... 5 4 ... ... ... Paramenia ... ... ... ... ... ... 1 ... Gout 1 ... ... 1 ... ... ... ... Childbirth ... ... ... ... ... ... 2 ... Dropsy 2 ... ... ... ... 2 3 3. Diseaseof Aged 5 ... ... ... 4 1 6 ... ... 6 ... ... ... 2 ... 2 3 Old Age 5 ... ... ... 4 1 ... ... Noma ... ... ... ... ... 7 6 4. Dis of Nutritn 13 13 ... ... ... ... ... ... Mortification ... ... ... ... ... 7 6 Atrophy and Debil. 13 13 ... ... ... ... 24 25 2. Tubercular 49 19 18 11 1 ... 1 l Scrofula 2 2 .. ... ... ... ... ... V. 1. Acci. or Ncg ... ... ... ... ... ... ... 2 Tabes Mesenterica 2 2 ... ... ... ... ... ... Fract. & Contusns. ... ... ... ... ... ... 21 17 Phthisis 88 8 18 11 1 ... ... Wounds ... ... ... ... ... ... 2 6 Hydrocephalus 7 7 ... ... ... ... ... ... Burns and Scalds ... ... ... ... ... ... 14 16 III. 1. Nervous Syst. 30 15 3 7 5 ... ... ... Poison ... ... ... ... ... ... ... ... Drowning ... ... ... ... ... ... ... 2 Cephalitis 2 2 ... ... ... ... ... ... Suffocation ... ... ... ... ... ... 1 4 Apoplexy 5 ... ... 3 2 ... ... Otherwise ... ... ... ... ... ... 3 ... Paralysis 3 ... ... 2 1 ... ... ... 2 . Homicide ... ... ... ... ... ... 1 ... Insanity 1 ... ... ... 1 ... 2 ... 3. Suicide ... ... 1 1 ... ... ... ... Chorea ... ... ... ... ... ... ... ... Wounds ... ... ... ... ... ... 1 1 Epilepsy 2 ... 1 1 ... ... ... ... Poison ... ... ... ... ... ... 4 7 Con ulsions 11 11 ... ... ... ... ... Drowning ... ... ... ... ... ... 4 2 Brain Diseases, &c. 6 2 2 ... .. ... ... ... Suffocation ... ... ... ... ... ... 12 6 2. Orga's of Circ. 18 ... 5 8 4 1 2 ... Otherwise 2 ... 1 1 ... ... ... ... Pericarditis ... ... ... ... ... ... ... ... 4. Unclassed ... ... ... ... ... ... ... ... Aneurism 1 ... ... ... ... 1 11 6 Heart Disease 17 ... 5 8 4 ... TABLE II. NEW CASES OF DISEASE COMING UNDER TREATMENT DURING THE FOUR WEEKS ENDING SATURDAY, THE 22nd DAY OF NOVEMBER, 1862, AT THE FOLLOWING INSTITUTIONS:— Workhouse, Infant Poor House. Out Patient Paupers. Islington Dispensary. Holloway Dispensary. Pentonville Convict Prison. Total. Small Pox .. ... 7 1 i ... 9 Chicken Pox ... ... 2 ... 2 ... 4 Measles ... ... 41 ... 46 ... 87 Scarlatina ... 1 35 9 3 ... 48 Whooping Cough ... ... 26 4 8 ... 38 Croup ... ... 1 ... 2 ... 3 Diarrhœa 1 ... 45 14 20 6 86 Dysentery ... .. 2 ... ... ... 2 Cholera ... ... ... ... ... ... ... Ague ... ... ... ... ... ... ... Continued Fever 1 ... 12 1 9 ... 23 Puerperal Fever ... ... ... ... 1 ... 1 Rheumatic Fever 1 ... 1 2 1 ... 5 Erysipelas 1 ... 12 2 4 ... 19 Diphtheria ... ... .. ... ... ... ... Sorethroat or Tonsillitis 1 ... 19 10 15 ... 45 Pyæmia ... ... ... ... ... ... Bronehitis and Catarrh 11 ... 277 73 75 51 487 Pneumonia 1 ... ... 1 5 1 8 Pleurisy ... ... 2 ... 2 1 5 Delirium Tremens ... ... ... ... ... ... ... Insanity 2 ... 3 .. ... ••• 5 Carbuncle ... .. 3 ... 1 ... 4 All other Diseases 39 4 423 573 473 128 1640 Total 58 5 911 690 668 187 2519 TABLE III. HOUSES INSPECTED AND SANITARY IMPROVEMENTS EFFECTED, From October 26th, 1862, to November 22nd, 1862. West SubDistrict. Rast SubDistrict. Whole Parish. Number of houses inspected 42 55 97 Drains Constructed 4 5 9 Improved or repaired 5 10 15 Traps fixed 9 14 23 Cesspools Abolished 1 4 6 Cleansed or disinfected ... ... ... Privies and Water Closets Pan, trap, and water supply furnished. 3 5 8 Pan and trap only furnished ... ... ... Water supply furnished 1 6 7 Dust Bins Constructed 2 4 6 Repaired and adapted ... ... ... Surface Drains and Pavements of Yards Constructed ... 4 4 Relaid 3 4 7 General Water Supply New receptacle provided 1 4 6 Receptacle repaired repaired cleansed ... 1 1 Water supply provided 1 ... 1 Other Improve- ments Houses generally repaired ... 2 2 „ cleansed or limewashed ... 2 2 „ ventilated ... ... ... Overcrowding adated ... ... ... Illegal use of underground Rooms for sleeping discontinued ... ... ... Brickuill and Smith, Newington Butts, S., Punters to the Metropolitan Board of Works. 31 REPORT ON THE SANITARY CONDITION OF ST. MARY, ISLINGTON, FOR DECEMBER, 1862. No. LXIX. The month of December has been a very sickly one, especially amongst the poor, and the mortality has been excessive. Four hundred and six deaths from all causes have been registered, exclusive of those of patients in the hospitals, who had come to them from other parishes. I have never had before to record so high a monthly mortality. The mean mortality of the six previous Decembers is 300, which, augmented for increased population and for comparison with the five weeks now in question, becomes 354; hence the registered mortality of December, 1862, exhibits an excess of 52 deaths, equivalent to an increase of about 1-7th over the six years average. To what is this due ? On consulting the tables for former years it is found, that the deaths which have been in excess are referable to diseases of the zymotic class, especially to small-pox, measles, and" scarlet fever; to those of the nervous system, especially paralysis, epilepsy, and infantile convulsions, and to disease of the heart. The two latter groups we will pass over to concentrate our attention upon the first, which numbers 134 deaths. 1. Smallpox, exhibits upon the table the record of 9 deaths. During the six years prior to this, put altogether, December only counts up 11 deaths, and this inclusive of a period when it was epidemic. "We have never before had to record so many. The weekly numbers were 2, 0, 0, 3, 4; they were as follows— Son of a Carman, aged 2 years , 36, Upper Bemerton-street Uncaccinated. Daughter of a Horsekceper, „ 2 years , 7, Bedford-place, Upper Holloway Unvaccinated. Daughter of a Brickmakcr, „ 8 months , 2, Slope-cottages, Highgate-hill Unvaccinited. Son of a Coal-porter, „ 20 months, 44, Sidney-street Uncaccinated. Son of a Carpenter, „ 4 years, 2, Eden-grove Ont Small Cicatrix. Policeman, „ 38 years , 19, Albert-road Two Cicatrices (Died in Hospital), Female Servant, „ 21 years , 6, Upper Freeling-street Two Cicatrices do. Female „ 24 years , 2, Upper BlHgfleld-st. Said to have been Vaccinated. Male Child „ 3 years , 9, Charlton-crescent Vnvaccinated. Of these, then, three were ascertained to have been vaccinated but imperfectly, about one there is no decisive information, and five infants died unvaccinated, although three of them were residing close to the hospital and might have obtained protection by the asking for it. Forty-three cases of small pox have been attended by the parochial medical officers, and twelve by the Holloway DispensaryThe greatest number of cases observed during the nine weeks of November and December occurred in Bemerton, Canal, and othrr districts adjoining the Caledonian-road, in Palmer street, in the neighbourhood of the Small Pox Hospital, and at Ball's-pond. A large number of cases (23) were in adults, who had neglected re-vacciuation. A special report upon 55 cases, which I drew up together with appropriate recommendations, has been presented both to the Sanitary Committee and to the Board of Trustees; the latter Board is taking measures to promote a more extended vaccination in the infected districts. 2. Thirty-eight deaths from measles have been registered—nearly double the mortality of November, and by far the largest number I have yet recorded for the month of December ; the weekly numbers were 9, 6, 5, 9, 9; these deaths took placc chiefly in the Eastern half of the parish—17 of these at Ball's-pond. The greatest part of the remaining deaths were in Lower Holloway. No less than 139 cases of measles were attended by the parochial modical officers and the two dispensaries, the weekly numbers being 32, 38, 22, 30, 17. 3. There were 35 deaths from scarlet fever, the mortality in December being 25. The weekly numbers were 7, 8, 5, 7, 8. The deaths were distributed pretty generally over the parish, but chiefly occurred about the Caledonian-road. The proportion of cases, however, has not been so great as those of measles,^ but this only corresponds to the higher fatality of scarlet fever. EDWARD BALLARD, M.D., Medical Officer of Health. Vestry Offices, December 12th, 1862. TABLE I. EATHS REGISTERED IN ISLINGTON DURING THE FIVE WEEKS ENDING DECEMBER 27, 1862. (Deaths of Non-Residents in Hospitals excluded.) West S.D. East S.D. Causes of Death. At all Ages. Under 20 years of age. At 20 and under 40 years of age. At 40 and under 60 years of age. At 60 and under 80 years of age. At 80 years of age and upwards West S.D. East S.D. Causes of Death. At all Ages. Under 20 years of age. At 20 and under 40 years of age. At 40 and under 60 years of age. At 60 and under 80 years ot age. At 80 years of age and upwards. 11 195 All Causes 406 228 38 56 71 13 34 35 3- Respiratv-Oras. 70 32 4 9 23 2 ___ 2 ... Larynuitis 2 1 ... 1 ... ... 19 24 Bronchitis 43 19 2 4 16 2 (Classes.) . 1 Pleurisy 1 ... ... 1 ... ... 73 61 I. ZYMOTIC DIS. 134 119 8 3 2 2 10 5 Pneumonia 1 1 2 ... 1 ... 2 5 Asthma 7 .. ... 1 6 ... 24 38 II. CONSTITUTE. 62 24 16 10 6 .. 1 1 Lung Diseases, &c. 2 ... 2 .. ... 4 6 4. Digestive Orgs. 10 2 1 4 3 ... 83 78 III. LOCAL 161 53 13 35 51 6 1 ... Gastritis 1 ... ... ... 1 ... 25 15 IV. DEVELOPMN L 40 24 1 10 5 ... 1 Enteritis 1 ... 1 ... ... ... ... Peritonitis ... ... ... ... ... ... 6 3 V. VIOLENT DTHS. 9 5 ... 2 2 .. ... 1 Ascites 1 ... ... 1 ... ... ... ... Not Specified ... ... ... ... ... ... ... ... Ulceration of Intst. ... ... ... ... ... ... ... ... Hernia ... ... ... ... ... ... ... 1 Ileus 1 1 ... ... ... ... (Orders.) ... ... Intussusception ... ... ... ... ... ... ... ... Stricture of Intesl i ... ... ... ... ... ... 66 59 I. 1. Miasmatic Dis 12 111 7 3 2 2 ... ... Fistula ... ... ... ... ... ... 1 ... Stomach Disea. &c 1 ... ... ... 1 ... 7 2 Sma!l Pox 9 6 3 ... ... ... ... ... Pancreas Disea. &c. .. ... ... ... ... ... 13 2 5 Measles 38 33 ... ... ... ... ... ... Hepatitis ... ... ... ... ... ... 21 11 Scarlatina 35 34 1 ... ... ... ... ... Jaundice ... ... ... ... ... ... 1 2 Diphtheria 3 3 ... ... ... ... 2 3 Liver Disease 5 1 ... 3 1 ... ... ... Quinsey ... ... ... ...... ... ... ... ... Spleen Disease ... ... ... ... ... ... 2 5 Croup 7 7 ... ... ... ... 1 2 5. Urinary Organs 3 ... 1 1 ... 1 8 8 Hooping Cough 16 16 ... ...... ... ... ... ... Nephritis ... ... ... ... ... ... 5 4 Typhus & Typhoid 9 2 2 3 1 1 ... 1 Disease of Bladder 1 ... ... ... ... 1 1 1 Erysipelas 2 1 1 .. ... ... 1 1 Nephrla 2 ... 1 1 ... ... ... ... Puerperal Fever ... ... ... ... ... ...... ... ... Diabetes ... ... ... ... ... ... ... ... Carbuncle ... ... ... ... ... ... ... ... Stone ... ... ... ... ... ... ... .. Influenza ... ... ... ... ... ... ... ... Prostate Disease. ... ... ... ... ... ... ... ... Dysentery ... ... ... ... ... .. ... ... Kidney Disease, &c. ... ... ... ... ... ... 3 1 Diarrhoea 4 2 .. ... 1 1 1 ... 6- Genera. Orgs . 1 ... ... ... 1 ... ... ... Cholera ... ... ... ... ... ... 1 ... Ovarian Dropsy . 1 ... ... ... 1 ... ... ... Ague ... ... ... ... ... ... ... ... Uterine Diseases. ... ... ... ... ... ... 2 ... Rheumatism 2 2 ... .. ... ... 2 ... 7. Orgs. of Locomo 2 1 ... 1 ... ... 1 ... 2. Enthetic 1 1 ... ... ... ... 1 ... Spine Diseases 1 1 ... ... ... ... 1 ... Syphilis 1 1 ... ... ... ... l ... Bone Diseases l ... ... 1 ... ... ... ... Stricture of Urethra .... ... ... ... ... ... 1 ... 8. Skin, &c. 1 ... ... ... 1 ... ... ... Hydrophobia ... ... ... ... ... ... ... ... Phlegmon ... ... ... ... ... ... ... ... Glanders ... .... .. .. .. .. 1 ... Ulcer 1 ... ... ... 1 ... 6 2 3. Dietic 8 7 l ... ... ... ... ... Skin Diseases ... ... ... ... ... ... ... ... Privation ... ... ... ... ... ... 5 5 IV. ??? Dis of Childrn 10 10 ... ... ... ... 5 1 Want of Br. Milk. 6 6 ... ... ... ... 1 l Purpura andScurvy 2 1 1 ... ... ... 4 3 Premature Birth.. 7 7 ... ... ... ... ... ... Alcoholism ... ... ... ... ... ... 1 ... Cyanosis 1 1 ... ... ... ... ... ... 4 Parasitic ... ... ... ... ... ... ... ... Spina Bifida ... ... ... ... ... ... ... ... Thrush ... ... ... ... .... ... ... ... Other Malfoimats ... ... ... ... ... ... ... ... Worms ... ... ... ... ... ... ... 2 Teething 2 2 ... ... ... ... 2 7 II. 1 Diathetic 9 ... l 4 4 ... 1 ... 2. Dis. of Adults 1 ... 1 ... ... ... ... ... Paramenia ... ... ... ... ... ... ... ... Gout ... ... ... ... ... 1 ... Childbirth 1 ... 1 ... ... ... 1 1 Dropsy 2 ... 1 ... 1 ... 11 4 3. Disease of Aged 15 ... ... ... 10 5 l 6 Cancer 7 ... ... 4 3 ... 11 4 Old Age 15 ... ... ... 10 5 ... ... Noma ... ... ... ... .... ... 8 6 4. Dis. of N utritn. 24 14 ... ... ... ... ... ... Mortification ... ... ... ... .... ... 8 6 Atrophy and Debil 14 14 ... ... ... ... 22 31 2. Tubercular 53 24 15 12 2 ... 4 3 V. 1. Acci- or Neg 7 5 ... 1 1 ... ... 4 Scrofula 1 4 . .. ... ... ... 3 Tabes Mesenterica 3 3 ... ... ... ... 1 .. Fract. & ??? 1 ... ... ... 1 ... 17 18 Phthisis 35 6 15 12 2 ... ... ... W ounds ... ... ... ... ... ... 5 6 Hydrocephalus,. 11 11 ... ... ... ... ... 1 Burns and Scalds. 1 1 ... ... ... ... ... ... Poison ... ... ... ... ... ... 33 16 III. 1. Nervous Syst 49 21 5 8 12 3 ... ... Drowning ... ... ... ... ... ... 3 2 Suffocation 5 4 ... 1 ... ... 1 1 Cephalitis 2 2 ... ... ... ... ... ... Otheiwise ... ... ... ... ... ... 5 ... Apoplexy 5| .. l 2 2 ... ... ... 2. Homicide ... ... ... ... ... ... 9 3 Paralysis 12 ... .... 2 8 2 2 ... 3. Suicide 2 ... ... 1 1 ... ... ... Insanity .. ... ... ... .. .. ... ... Wounds ... ... ... ... ... ... .... ... Chorea ... ... ... ... ... .. 2 ... Poison 2 ... ... 1 1 ... 2 3 Epilepsy 5 l l 2 1 ... ... ... Drowning ... ... ... ... ... ... 9 8 Convulsions 17 17 ... ... ... ... ... ... Suffocation ... ... ... ... ... ... 7 1 Brain Diseases, &c. 8 1 3 2 1 1 ... ... Otherwise ... ... ... ... ... ... 7 18 2. Organs of Circ 25 ... 2 12 11 ... ... ... 4. Ucclassed ... ... ... ... ... ... l ... Pericarditis 1 ... l ... ... ... ... ... Aneurism ... ... ... ... .. ... 6 18 Heart Disease 24 ... 1 12 11 ... TABLE II. NEW CASES OF DISEASE COMING UNDER TREATMENT DURING THE FIVE "WEEKS ENDING SATURDAY, TIIE 27th DAY OF DECEMBER, 1862, AT THE FOLLOWING INSTITUTIONS:— Workhouse. Infant Poor House. Out Patient Paupers. Islington Dispensary. Hollow* y Dispensary. Pentonville Convict Prison. Total. Small Pox .. ... 43 .. 12 ... 55 Chiken Pox ... ... 8 1 7 ... 16 M easles ... ... 35 10 94 .. 139 Scarlatina ... ... 32 2 9 ... 43 Whooping Cough ... ... 36 5 7 ... 48 Croup ... ... 1 ... 1 ... 2 Diarrhœa 8 ... 28 5 15 3 55 Dysentery ... ... 1 ... 1 ... 2 Cholera ... ... ... ... ... ... ... Ague ... ... ... ... 1 ... 1 Continued Fever 1 ... 6 2 14 ... 23 Puerperal Fever ... ... ... ... ... ... ... Rheumatic Fever 4 ... 2 1 4 ... 11 Erysipelas ... ... 12 4 4 ... 20 Diphtheria ... ... .. ... 2 ... 2 Sorethreat or Tonsillitis ... ... 30 11 23 ... 64 Pyæmia ... ... ... ... ... ... ... Bronchitis and Catarrh 38 ... 379 94 120 59 696 Pneumonia ••• ... 1 2 1 ... 4 Pleurisy ... ... 6 2 1 ... 9 Delirium Tremens ... ... ... ... ... ... ... Insanity 1 ... 6 .. ... • •• 7 Carbuncle ... .. 2 ... 1 ... 3 All other Diseases 64 17 534 652 430 146 1843 Total 116 17 1162 791 753 208 3047 TABLE III- HOUSES INSPECTED AND SANITAEY IMPROVEMENTS EFFECTED, From November 23rd, 1862, to December 27th, 1862. West SubDistrict. East SubDistrict. Whole Parish. Number of houses inspected ... 35 25 Drains Constructed ... ... ... Improved or repaired 14 17 31 Traps fixed 15 16 31 Cesspools Abolished 3 1 4 Cleansed or disinfected ... ... ... Privies and Water Closets Pan, trap, and water supply furnished ... ... ... Pan and trap only furnished 8 ... 8 Water supply furnished ... 7 7 Dust Bins Constructed 3 ... 3 Repaired and covers adapted ... ... ... Surface Drains nnd Pavements of Yards Constructed ... 1 1 Relaid 11 6 17 General Water Supply New receptacle provided ... ... .. Receptacle repaired and cleansed ... ... ... ... ... ... Other Improve- ment. Houses generally repaired ... 2 2 „ cleansed or limewashed 3 11 14 „ ventilated ... ... ... Overcrowding abated 9 ... 9 Illegal use of underground Rooms for sleeping discontinued 1 1 2 Exickeill and Smith, Newington Butts, S., Printers to th« Metr politan Board of Works. 32 REPORT on THE SANITARY CONDITION of the Parish of St. Mary, Fslington, DURING THE YEAR 1862. by EDWARD BALLARD, M.D., (LOND.) member op the royal college of physicians ; fellow of the royal medical and chirurgical society of london, etc , MEDICAL OFFICER OF HEALTH. LONDON, NEWINGTON BUTTS: Brickhill & Smith, Printers to the Metropolitan Board of Works. 1863. TO THE VESTRY OF ST. MARY, ISLINGTON. Gentlemen, 1. In presenting to you my Seventh Annual Report, I am happily able to state that the result of the tabulations of sickness and mortality in Islington, during 1862, exhibits a condition of public health superior to any that has been observed in the six preceding years. You may have been prepared for this announcement by the almost uniform tenour of my Monthly Reports. MORTALITY AND SICKNESS. 2. Between the 1st of January and the 31st of December, inclusive, there died in the Parish (excluding strangers in the Fever and Small Pox Hospitals) 3,010 persons. To obtain a more accurate statement of mortality, we must take credit for 207 more deaths, our proportion of those which took place in the several general and special hospitals of the Metropolis. Our corrected mortality for 1862 thus becomes 3,217. If, as it is usual to assume, the population of the Parish lias continued to increase at the same rate as it did between 1851 and 1861, viz., by the addition each year of 5 per cent, of the population of each preceding year, the number of our inhabitants in the middle of 1862 was 164,986. Hence for every 10,000 persons there happened 194 deaths. In 1861 the death rate was 200 per 10,000. The death rate of London generally in 1862 was 234 per 10,000, an increase and not a diminution upon that of the previous year. 3. This diminution of death rate may partly be explained by the mildness of the seasons, the less severity of the cold in the winter months and of the heat in the summer months. Another explanation may lie in the fact that the births were much fewer than might have been anticipated, and hencc that there were during the year a smaller number of infants, whose premature death forms so serious an item in all Tables of Mortality. The following Table shows what the registered births were— 1862. West Sub-District. East Sub-District. Whole Parish. Males. Females. Total. Males. Females. Total. Males. Females. Total. 1st Quarter 355 395 750 318 335 053 673 730 1403 2nd Quarter 351 370 721 359 342 701 710 712 1422 3rd Quarter 342 350 092 357 310 067 699 660 1359 4th Quarter 348 355 703 343 350 093 691 705 1396 Total 1396 1470 2860 1377 1337 2714 2773 2807 5580 4 The total number of registered births then was 5,580. This is only 54 above the number registered in 1861. But both these conditions were common to this Parish and London at large, inasmuch as it so happens that the births in London generally were only 1,029 more than in the previous year. There is, however, a difference which may account in some degree for the low death rate, and that is, that, whereas in London generally the male births, as is customary, exceeded those of female children, the reverse, strangely enough, appears to have happened with us, for the births of female children exceeded those of male children by 34. Now it is well known that the mortality in very early life is greater among male than among female children ; and so, in point of fact, it was with us last year, the numbers dying under 5 years of age being 736 males and 625 females; but that the truth lies somewhat as I have stated appears from the fact, that, while in 1861 the female deaths under 5 years were almost accurately the same in number as in 1862, viz., C26, the male deaths were 779. Now 1861 was a year in which the male births were, as usual, in excess of the female births. And more than this, the male births in 1861 were actually 118 more than in 1862. But this low birth rate, and especially the low birth rate of males, will not account for everything, for the low mortality among children was not confined to children under 1 year of age. It is a truth that the number of children dying under 5 years of age, as well as at almost every age below 5, taken separately, was positively less than the number dying at the same ages in either of the years 1860 or 1861. This fact enables us at once to dispense with any calculations in which population or birth rate have a place. ice. The numbers, year by year, stand thus:— — Under 1 Year. 1 to 2 Years. 2 to 3 Years. 3 to 4 Years. 4 to 5 Years. All Ages under 5 Years. Deaths in 1860 747 326 157 98 54 1382 „ 1861 748 324 163 99 71 1405 „ 1862 725 302 160 111 63 1361 But for all this, we must not close our eyes to the fact that our population has been increasing and to a large extent, all these years. Still there is another point of view in which we may disregard it, while showing how low our mortality last year was. Let me refer to the mortality as it occurred quarter by quarter [Table IV]. In the first and second quarters of the year the deaths were absolutely less numerous than in the corresponding quarters of 1860 and 1861; in the third quarter they were less numerous than in the corresponding quarters of 1859 and 1861; and, had it not been for the unusual cold of the latter part of November and beginning of December, it is not improbable that our deaths in the entire year would not have exceeded those of 1861, and might have been actually less. As it is, the deaths exceeded those of 1861 only by 67, just about the number of deaths that occurred in the last week of the year. 5 I will give the actual numbers (of course excluding those who died out of the Parish). Years. 1st Quarter. 2nd Quarter. 3rd Quarter. 4th Quarter. 1859 651 533 731 748 1860 811 675 571 758 1161 821 695 692 739 1862 779 654 663 892 I must leave eacli of you, Gentlemen, to draw your own conclusions from these facts, warning you, however, that the problem is a complicated one, and may, amongst other things, involve this question, namely, how far our geographical position, elevation, peculiarities of climate, and the special character of our population, as to the proportion of the sexes and ages, and as to their occupation, &c., modify the influence of atmospheric conditions, in the way of intensifying the fatal operation of extremes of heat and cold, and of giving more favourable results, as respects disease and mortality, when the winter season is mild and the summer cool, than obtain in the Metropolis at large. It will appear from Table IV. that the temperature of every month from January to May, was above the average; that the temperature of each of the usually warm months, viz., from June to August, was below the average, and that, with the exception of November, which was unusually cold, all the rest of the year was mild. Of the whole number of deaths included in Table I. 1,441 were of males, and 1,569 of females. 4. And now what do we know about the sickness in the Parish during the year 1 There were among the deaths 1,469 of persons over 15 years of age, that is, of persons old enough to gain their own livelihood. We will apply to this datum the law of Mr. Edmonds, as I did in my last Report. Thus, by doubling the number of deaths we arrive at 2,938 persons over 15 years of age, who, on the average, would have been found at any time in the year incapacitated by some form of acute disease, and in addition there would have been found 1,469 permanent invalids, making a total of 4,407 persons of the ages mentioned, who at any time in 1862 might have been found laid up by sickness. An increase of 5 per cent, upon the adult sickness of 1861 would have given the number for the year at 4,324. Unless then, as is perhaps the case, our population increased last year more by immigration of adults* from less healthy districts, than by tlio addition of young persons to it by birtli or immigration, 1862 was, in Islington, a less favourable year for adults than it was for infants, comparing it with 1S61. Taking into account, however, merely the sickness that prevailed among the poor, as represented in Table V., and this in respect of all ages, it is remarkable that we again arrive at a favourable conclusion. There was certainly less sickness than might have been looked for. The population is assumed to have increased one-twentieth, the * Of the 7,856 persons added to our population, only 2,303 (the difference between the births and deaths,) were children horn in tho Parish. This will leave no less than 5,493, as the number of persons who had entered it from other places, over and above thoso who had simply substituted persons that had left thj Parish. 6 sickness only increased one-twenty-eighth. The number of new cases of disease entered last year amounted to 29,011, and in 1861 the number was 28,000. DISTRICT MORTALITY. 5. I must here beg of you to refer to the Sanitary Map furnished with my last Annual Report. In the 35 districts, the death rate, calculated upon the census papers of 1861, varied from 7.3 in the 1,000 inhabitants in Duncan District to 28.6 per 1000 in Ballspond District. From this it appears that, both in the most healthy and the least healthy district, the death rate was lower than in the most healthy and least healthy in 1861, when the extremes were 8.5 and 33.5 deaths per 1000, respectively. Nine districts presented a death rate below 15 per 1000 (the standard death rate for a healthy district [Farr]), namely, Duncan, Highbury Hill, Palmer, Hornsey Rise, Rydon, Tufnell, St. Peter's, Park Street, and City Road, a list which includes at least two districts where the population consists in large proportion of poor persons. Thirteen presented a death rate above the mean death rate of the Parish : I place them in order from the lowest to tho highest death-rate. [Shepherdess], Trinity, Canal, Lower Holloway, [Hornsey-road], Lower Road, Bermerton, Queen's Road, Church, [Mildmay], Battle Bridge, Irish Courts, and Balls Pond. The calculation for those districts placed in brackets, however, is more or less incorrect, inasmuch as since the Census they have, by the occupation of a large number of new houses, increased more or less in population; the districts of Hornsey Road and Mildmay are most remarkable in this respect. It is worthy of observation that the district of Ballspond again exhibits the highest death rate, just as it did in 1861; the deaths of young children were the most numerous by far, the Zymotic mortality very heavy, and while scarlet fever swept off the infant population in 1861, measles performed a similar office last year, especially in Feston Place, Frederick Place, Albion Place, Orchard Street, and Prospect Place. Table II. represents tho actual mortality in each district, and Table III. the death rate in each, as calculated upon the census papers of 1861, INFANT MORTALITY. 6. I have already alluded to this subject when discussing the general death rate for the year. The Tables II. and III. will show how the deaths under 5 years were distributed among the several districts. The highest infant mortality appears to have occurred in the Irish Courts, viz., 18.2 per 1000 of the population at all ages, while the lowest occurred in Dunean District adjoining, viz., 1.2 per 1000 of population. As respects the value of these death rates I must refer you to the remarks I made upon the subject in my last Annual Report, CAUSES OF DEATH. 7. Table I. shows the cause of death in 3,010 persons of all ages. a Zymotic Diseases. The diseases of the Zymotic class were fatal to 849 persons, nearly the samo number as in 1861. Of these 572 were infants under 5 years of age. The District 7 of Ballspond furnished by far the greatest number of deaths from these* causes, viz., 13.1 per 1000 of the population, while there was not one in Duncan District. Palmer District was also remarkably exempt, being for this year on a level with some of the best districts in the Parish; the only Zymotic death that occurred was one from diphtheria. Small Pox occasioned 13 deaths, noarly all of which occurred at the close of the year, when a new epidemic arose. As respects this outbreak I shall merely state here that among the class of persons who are recipients of medical charity, whether at the hands of the Parochial Surgeons or from the Dispensaries, there occurred 80 cases. Of these only five were observed during the first half of the year; in July there were 2 cases, in August 2 cases, in September 3 cases, in October 4 cases, in November 9 cases, while in December the number rose to 55. I shall defer entering fully into the particulars until the time arrives for placing on record the history of the entire epidemic. I may merely state here that it broke out with some severity and almost simultaneously in the Districts of Highgate Hill and Archway, and among the poor population of the districts adjoining the Caledonian Road viz., Lower Holloway, Bemerton and Canal, and that at the close of the year several cases had occurred at Balls Pond and isolated cases elsewhere in the Parish. So long as the arrangements for public vaccination remain as they are at present, and so long as the state of the law continues unamended, no inducements being offered to the poor to bring their children for vaccination of a character that they can understand and appreciate, and no penalties for neglect of so simple a precaution being enforced, just so long may we expect from time to time to see this offensive malady break out and spread among our people, seizing upon those who are unvaccinated or have been only imperfectly protected in infancy. Of the 13 deaths, 3 occurred on Highgate Hill, 3 in Archway, 4 in Bemerton, 1 in Canal, and 1 in Lower Holloway District. Measles occasioned 123 deaths. The greatest proportional mortality fell upon the Districts of Balls Pond, the Irish Courts, Queen's Road, White Conduit, Bello Isle, Lower Holloway, Battle Bridge, Kingsland and City Road. The only districts in which there were no deaths from measles at all were Palmer, Hornsey Rise, Highbury Hill, Highbury Yale, Rotherfield and Duncan. It prevailed chiefly during the months of June, July, November and December, being most fatal in the two last mentioned months. Altogether I have the record of 740 cases against 289 in 1861. It was, then, the leading zymotic malady of the year amongst children. Scarlet Fever.—210 deaths occurred from this disease. Considered in relation to population, the Freehold adjoining the Hornsey Road suffered the highest mortality, and next in order came the Districts of Bemerton, Mildmay, St. Thomas, Battle Bridge, Belle Isle, Barnsbury, Lower Road, Hornsey Road and Canal. It was most prevalent, as well as most fatal, at the commencement and towards the close of the year. I have a record altogether of 321 cases, a larger number than in 1861. This disease is a more fatal one than measles, and licnce the Jarger proportion of deaths for the cases in Table Y, 8 There were 34 deaths from Diphtheria—that is four less than in 1861. Hooping Cough.—-To this 112 deaths were referred. Proportionally to the population the greatest mortality fell upon the districts of Highbury Yale and Balls Pond; but a considerable mortality occurred from this cause in those of Bemerton, Park Street, St. Thomas, Canal and Archway. Fever.—115 deaths were referred to fever. This number is somewhat large, but is explained by the existence of an epidemic of typhus in London. Nine of the deaths recorded were of nurses in the London Fever Hospital. Bowel Complaints.—Diarrhoea, dysentery and cholera together, thanks to a cool summer, only occasioned together 97 deaths, of which 70 were of children under five years of age. Nine was the highest weekly number of deaths. All the cases I had record of amounted to 1,169, against 1,704 in 1861, In no one week of the year did the mean temperature exceed 61.3° b Constitutional Diseases. 8. The number of persons who died from tubercular diseases, the most important group of this class was 474 of whom 145 were infants. This total number is just below that recorded in 1861. The deaths from consumption were 320; in 1861 they amounted to 329. c Local Diseases. 9. The so called local diseases occasioned 1,182 deaths, that is, 98 more than in 1861. Those especially fatal were diseases of the nervous system and of the organs of circulation, the former furnishing 343 and the latter 180 fatal cases. The deaths from diseases of the chest and organs of respiration (excluding consumption) amounted to 478. SANITARY WORKS OF THE YEAR. 10. Table VIII.—shows the work of the year in respect of house improvements. In the poorer neighbourhoods, where the visits of the Inspectors are principally required, it commonly happens that only a short time elapses before interference becomes again necessary in the interest of the health of the inhabitants. It would scarcely be too much to say, that nearly every house in the districts constituting the third group of Table VII., and that half the houses in the second group require some sanitary amendment or other in the course of every year. All we can do is to look after the worst of them, when attention is called to them by unusual outbreaks of disease, or by complaints made by their inhabitants or by neighbours. The Amended Act for the Local Management of the Metropolis having virtually placed the sanitary arrangements of cow houses under the control of the Vestry, a thorough inspection of these places was made by the Inspector and myself, in all the instances where the proper notice was lodged at the Office of an intention to apply for a licence. Many of these were found in a disgracefully dirty, and ill drained 9 condition; some of them, I feul satisfied, ought not to be allowed to exist at all where they are situated. Nevertheless, with one exception, all that applied to the Magistrates received their licences for the year, on the ground that, as it was the first occasion of licensing, and there had been but little time for amendment, the utmost leniency should be shown in carrying out the Act of Parliament. All the licences, however, were granted with the understanding that the places should be put into a state satisfactory to the local authority and myself. I am sorry to say that in many instances thi3 condition has not been fulfilled. At the time I write this Report I am engaged in a renewed inspection, and take the opportunity to recall to the minds of the cow keepers the condition on which their licences were granted, pointing out that the breach of it will throw an obstacle in the way of their renewal, and urging the completion of the necessary works before the hot weather of the summer season sets in. The number of cow houses (separate establishments) licensed, was 69, viz., 31 in the Western and 38 in the Eastern half of the Parish. The slaughter houses were also, as usual, inspected at Michaelmas, and also from time to time during the year. The application for licence to one Slaughter House only was refused. It had been refused on a former application also. Should the Bill for the Regulation of Bakehouses, now before Parliament, become law, another and onerous duty will be laid upon your Sanitary Officers. I cannot, however, regard the provisions of the Bill with any feelings but those of satisfaction. From what I have seen of the smaller bakehouses in Islington, I imagine that their dirty and unventilated state is not surpassed by bakehouses in other Parishes, and that we shall find abundance of work prepared for us in this department of our labour. REVIEW OF THE DISTRICT MORTALITY DURING THREE YEARS. 11. Before concluding my Report, I beg to direct your attention to two Tables which appear amongst those which complete it. Tables VI. and VII. exhibit the mortality from all causes, from certain classes of disease and of children in each of the sanitary districts into which last year I divided our Parish. Their construction, of course, involved a new distribution of the mortality, street by street, for the year 1860. Taking the central year, 1801, and the M.S. census papers obligingly furnished me by the Registrar General, I am able thus to place the sanitary state of the several districts in a more certain position than if the death rate were calculated upon the mortality of a single year, by calculating the death rate upon the three years, 1800, 1801, and 1862. In Table VII. I have calculated the infant mortality in relation to the number of families in each district. The results are very striking. I leave both Tables, however, for your own study since the conclusions I should draw would be very similar to those announced in my last Report. Had I left this calculation until next year, and redistributed the deaths for 1859, so as to base it upon five years mortality instead of three, the gain to 10 accuracy would not have been commensurate with the greatly additional labour involved. I will content myself with pointing out one use that may be made of Table VI. in estimating our sanitary progress, since it enables us to eliminate the disturbing influence of an increasing population. The districts marked * are those in which chiefly the increase of our population has occurred—the remaining 22 districts may be regarded as varying little in the number t0 their total inhabitants—what little variation there may have been is certainly not to be regarded as in the direction of diminution. Now adding up the deaths for the three years in these least varying districts, the totals stand thus— All causes. Zymotic Diseases. Tubercular Diseases. Under 5 years of age. 1860 1,737 382 285 837 1801 1,793 601 277 868 1862 1,667 471 267 813 The low mortality of 1862 here stands out in bold relief, since, in each column, it exhibits a number of deaths lower than that in 1861, and in the column relating to zymotic causes alone higher than that of 1860, in each of the others considerably lower. Comparing the 22 districts among themselves, it appears that in 11 of them the annual lowering of mortality is most remarkable, viz., in Palmer, Theberton, St. Thomas, "White Conduit, Highbury Hill, Highbury Vale, Kingsland, Rotherfield, St. Peters, Duncan, and City Road. In the following, however, the mortality has increased, viz., Belle Isle, Barnsbury, Trinity, Canal, Battlebridge, Church and Lower Road, probably in some of them by an increase in the density of their population. I have the honour to remain, Gentlemen, Your very obedient Servant, EDWARD BALLARD, M.D., M.R.C.P., Mcdical Officer of Health. Vestry Offices, April 17th, 1863. TABLE I. DEATHS WHICH HAVE OCCURRED IN ISLINGTON DURING THE YEAR Males. Females. Causes of Death. All Ages. Und 1 1- 2- 3- 4- 1 Under 5 5- 10- 15- 25- 35- 45- 55- 65- 75- 85- 95 Up. 1441 1569 All Causes 3010 725 302 160 111 63 1361 135 45 156 181 223 212 251 240 166 39 1 (Classes). 454 395 I. ZYMOTIC DIS... 849 197 149 103 78 45 572 79 23 37 39 29 21 20 16 11 2 .. 254 306 II. CONSTITUTL 560 66 48 16 12 6 148 21 12 71 87 94 63 31 23 8 2 .. 546 636 III. LOCAL 1182 239 84 34 17 9 383 34 9 44 49 89 121 189 166 87 11 .. 155 201 IV. DEVELOPMNL 356 195 19 5 3 1 223 .. .. .. 5 5 2 5 32 58 24 1 27 25 V. VIOLENT DTHS. 52 21 2 1 1 2 27 1 1 4 1 4 4 6 3 2 .. .. 5 6 Not Specified 11 7 ... 1 .. .. 8 .. .. .. .. 2 1 .. .. .. .. (Orders.) 411 383 I. 1. Miasmatic Dis. 794 159 148 102 78 45 532 79 23 35 34 25 20 17 16 11 2 .. 11 4 Small pox 15 3 1 3 1 1 9 .. ... 5 ... 1 ... ... .. .. .. .. 71 52 Measles 123 19 51 24 19 7 120 1 2 .. .. .. .. .. .. .. .. .. 109 101 Scarlatina 210 14 25 36 37 24 136 55 13 4 2 .. .. .. .. .. .. .. 17 17 Diphtheria 34 4 7 7 6 3 27 2 2 1 2 .. .. .. .. .. .. .. 3 1 Quinsey 4 .. 1 .. .. .. 1 2 .. .. .. .. .. 1 .. .. .. .. 15 16 Croup 31 7 7 6 6 4 30 1 ... .. .. ... .. ... .. .. .. .. 60 52 Hooping Cough 112 47 36 19 6 1 109 3 .. .. .. .. .. .. .. .. .. .. 68 57 Typhus & Typhoid 115 3 4 4 3 3 17 10 4 16 20 13 16 9 4 5 1 .. 6 14 Erysipelas 20 4 1 .. .. ... 5 2 .. 1 1 3 .. 2 4 1 1 .. ... 13 Puerperal Fever 13 .. .. .. .. .. .. .. .. 3 7 3 .. .. .. .. .. .. ... 2 Carbuncle 2 1 .. .. .. .. 1 .. .. .. .. .. .. .. 1 .. .. .. 1 1 Influenza 2 .. .. .. .. .. .. .. .. 1 .. .. .. .. 1 .. .. .. 3 1 Dysentery 4 1 .. .. .. .. 1 1 1 .. .. .. 1 .. 1 .. .. .. 44 42 Diarrhœa 86 52 15 3 ... 2 72 1 1 1 ... ... .. 3 3 5 .. .. 5 2 Cholera 7 4 ... .. .. .. 4 .. .. .. .. 1 .. 1 1 .. .. .. .. .. Ague .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 8 8 Rheumatism 16 .. .. .. .. .. .. 1 1 3 2 4 3 1 1 .. .. .. 11 3 2, Enthetic 14 10 1 1 .. .. 12 .. .. l .. ....... .. .. .. .. .. .. 10 3 Syphilis 13 10 1 1 .. .. 12 .. .. .. .. .. .. 1 .. .. .. .. 1 .. Stricture of Urethra 1 .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. Hydrophobia .. .. ....... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. Glander .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 31 7 3. Dietic 38 25 .. .. .. .. 25 .. .. 1 5 4 1 2 .. .. .. .. .. l Privation 1 .. .. .. .. .. .. .. .. .. .. .. .. 1 .. .. .. .. 20 3 Want of Br. Milk.. 23 23 .. .. .. .. 23 .. .. .. .. .. .. .. .. .. .. .. 4 1 Purpursandscuvy 5 2 .. .. .. .. 2 .. .. 1 .. 5 2 1 1 .. .. .. 7 2 Alcoholism 9 .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1 2 4. Parasitic 3 3 .. .. .. .. 3 .. .. .. .. .. .. .. .. .. .. .. I 2 Thurs 3 3 .. .. .. .. 3 .. .. .. .. .. .. .. .. .. .. .. .. .. Worm • • ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 21 65 I.1, Diathetic 86 3 .. .. .. .. 3 .. .. 2 2 11 20 18 20 8 2 .. 4 .. Gout 4 .. .. .. .. .. .. .. .. .. .. 1 .. 2 1 .. .. .. 6 7 Dropsy 13 2 ... .. .. .. 2 .. .. .. .. .. 1 3 3 1 1 .. 11 51 Cancer 62 .. .. .. .. ... ... .. .. .. 2 10 19 12 13 6 .. .. .. .. noma .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 7 Mortification 7 1 .. .. .. .. 1 .. .. .. .. .. .. 1 3 1 1 .. 233 241 2. Tubercular 474 63 48 16 12 6 145 21 12 69 85 83 43 13 3 .. .. .. 14 12 Scrofula 26 9 5 1 1 1 17 2 1 5 1 .. .. .. .. .. .. .. Tabes mesenterica 25 ll 4 3 1 .. 19 4 1 1 .. •• •• .. ••• .. .. .. 147 173 Phthisis 320 10 3 1 2 .. 16 7 9 63 84 82 43 13 3 .. .. .. 59 41 Hydrocephalus 103 93 36 11 8 5 39 8 1 .. .. 1 .. .. .. .. .. .. 157 186 III. 1. NervousSyst 343 102 31 11 7 3 154 17 2 12 13 15 28 40 39 23 .. .. 15 25 Cephalitis 40 9 7 6 1 2 25 9 .. 3 1 .. .. 2 .. .. .. .. 22 37 Apoplexy 59 2 .. .. • • ... 2 3 .. 3 4 3 10 16 16 2 .. .. 22 26 Paralysis 48 .. .. .. ... .. ... .. ... .. .. 3 7 12 15 11 3 .. Insanity 3 .. .. .. ... .. ... .. .. 1 .. .. .. .. .. 2 .. .. .. 1 Chorea 1 .. .. .. .. .. .. .. 1 .. .. .. .. .. .. .. .. .. 15 7 Epilepsy 22 .. 1 ••• 1 .. 2 .. 1 3 2 4 4 3 1 2 .. .. 58 61 Couvulsions 119 87 22 5 3 .. 117 2 .. .. .. .. .. .. .. .. .. .. 22 29 Brain Diseases, &c. 51 4 1 .. 2 1 8 3 .. 2 6 5 7 7 7 6 .. .. 77 103 2. Organs of Circ, 180 .. ... ... ... ... ... 3 3 13 12 27 31 49 28 13 1 .. i 3 Pericarditis 4 .. .. .. .. .. .. .. .. 1 .. 1 .. .. 2 .. .. .. 8 1 Aneurism 9 .. .. .. .. .. ... .. .. .. 1 2 1 2 2 1 .. .. 68 99 Heart Disease 167 .. .. .. .. .. .. 3 3 12 11 24 30 47 24 12 1 .. TABLE I. ENDING DECEMBER 31st, 1862. (Deaths of Non-residents in Hospitals excluded). Males. Females. Causes of Death. All Ages. AGES. Und 1 1- 2- 3- 4- Under 5 5- 10- 15- 25- 35- 45- 55- 65- 75- 85- 95 Up. 236 242 3. Respirat. Orgs 478 117 53 23 8 4 205 10 2 10 14 24 31 61 72 40 9 .. 14 6 Laryngitis 20 8 6 1 .. .. 15 .. .. 1 1 .. 1 1 1 .. .. .. 132 162 Bronchitis 294 66 32 12 5 2 117 6 1 2 8 10 17 38 58 29 8 .. 6 8 Pleurisy 14 .. .. .. .. .. .. 1 .. 1 2 4 1 1 1 3 .. ... 64 49 Pneumonia 113 42 14 10 8 2 71 3 l 5 3 8 5 7 4 5 1 .. 15 10 Asthma 25 .. .. .. .. .. .. .. .. .. .. 1 4 11 6 3 .. .. 5 7 Lung Diseases, &c. 12 1 1 .. .. .. 2 .. .. 1 .. 1 3 3 2 .. .. .. 46 74 4. Digestive Orgs. 120 16 .. .. 1 2 19 3 1 3 7 17 17 24 23 5 1 .. 3 6 Gastritis 9 2 .. .. .. 1 3 .. .. .. 1 .. 1 3 .. .. .. .. 3 4 Enteritis 7 4 .. .. .. .. 4 .. •• ... 1 .. .. 1 1 .. .. .. 5 8 Peritonitis 13 2 .. .. 1 .. 3 1 1 2 2 2 .. 1 1 .. •• .. 1 3 Ascites 4 .. .. .. .. .. .. .. .. .. .. .. .. 3 1 ... .. .. .. .. Ulceration of Intes. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... 2 Hernia 2 .. .. .. .. .. .. .. .. .. .. ... ... 1 1 ... .. 5 7 Ileus 12 l .. .. .. 1 2 1 .. .. .. 1 3 1 4 .. .. .. .. .. Intussusception .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 2 Stricture of Intest. 2 .. .. .. .. .. .. .. .. .. 1 .. 1 .. .. .. .. .. ... .. Fistula .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. 7 9 Stomach Dis., &c. 16 2 .. .. .. .. 2 ... .. .. .. 3 3 3 3 2 .. .. ... .. Pancreas Dis., &c .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 5 7 Hepatitis 12 .. .. .. .. .. .. .. .. 1 .. 2 2 3 3 1 .. .. 4 2 Jaundice 6 4 .. .. .. .. 4 .. .. .. .. .. .. 1 .. .. 1 .. 13 24 Liver Disease 37 1 .. .. .. .. 1 l .. .. 3 8 7 8 9 ... .. .. ... .. Spleen Disease .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. 21 10 5. Urinary Oigans 31 .. .. .. .. .. .. .. .. 4 2 2 8 10 2 3 .. .. .. .. Nephritis .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. Disease of Bladder .. .. .. .. .. .. .. .. .. .. .. .. ... .. .. ... ... .. 12 5 Nephria 17 .. .. .. .. .. .. .. .. 2 2 2 5 5 1 ... .. .. 2 .. Diabetes 2 .. .. .. .. .. .. .. .. .. .. .. 1 1 .. .. .. .. 1 .. Stone 1 .. .. .. .. .. .. ... .. .. .. .. 1 .. .. .. .. .. 1 .. Prostate Disease 1 .. .. .. .. .. .. .. .. .. .. .. 1 .. .. .. .. .. 5 5 Kidney Disease, &c. 10 .. .. .. .. .. .. ..... .. 2 .. .. 1 4 l 2 .. .. .. 13 6. Genera. Organs 13 .. .. .. ... .. ... ... .. 1 .. 3 3 4 2 .. .. .. v 9 Ovarian Dropsy 9 .. .. .. .. .. .. .. .. 1 .. 2 1 3 2 .. .. .. .. 4 Uterine Diseases 4 .. .. .. .. .. .. .. .. .. .. 1 2 1 .. .. .. .. 5 4 7. Orgs. of Locomo. 9 .. .. .. l 1 1 1 1 1 1 2 1 .. .. .. .. 4 3 Spine Diseases 7 .. .. .. 1 .. 1 1 1 1 1 .. 1 1 .. .. .. .. 1 1 Bone Diseases 2 .. .. .. .. .. .. .. .. .. .. 1 1 .. .. .. .. .. 4 4 8 Skin, &c 8 4 .. .. .. .. 4 .. .. .. .. .. 1 .. .. 3 .. .. 1 3 Phlegmon 4 2 .. .. .. .. 2 ... .. .. .. .. 1 .. .. l .. .. 3 .. Ulcer 3 1 ... .. ... .. 1 .. .. .. .. .. .. .. .. 2 .. .. .. 1 Skin Diseases .... 1 1 .. .. .. .. 1 .. .. .. .. .. .. ... .. .. .. 46 41 IV, 1. Dis. ofChildn. 87 78 7 1 1 .. 87 .. .. .. .. .. .. .. .. .. .. .. 34 31 Premature Birth 65 65 ... .. .. .. 65 .. .. .. .. .. .. .. .. .. .. .. 2 1 Cyanosis 3 2 .. 1 .. .. 3 ... .. .. .. .. .. ... .. .. ... .. 2 3 Spina Bifida 5 4 .. .. 1 ... 5 .. .. ... .. .. ... .. ... .. .. .. 2 .. Other Malformats. 2 2 .. .. .. .. 2 .. .. .. .. .. .. .. ... .. .. .. 6 6 Teething 12 5 7 .. .. .. 12 .. .. .. .. ... .. .. .. .. .. .. .. 12 2. Dis. of Adults. 12 .. .. ... .. ... .. .. .. 1 5 5 1 .. .. .. ... .. .. .. Paramenia .. .. .. ....... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 12 Childbirth 12 .. .. ... .. .. .. .. .. 1 5 5 1 •• .. .. .. .. 38 83 3. Diseases of Aged 121 .. .. .. .. .. .. .. .. .. .. 1 5 32 58 24 1 38 83 Old Age 121 .. .. .. .. .. .. .. .. .. .. .. 1 5 32 58 24 1 71 65 4, Dis, of Nutritn. 136 117 12 4 2 l 136 .. .. .. .. .. .. .. .. .. .. .. 71 65 Atrophy & Debitity 136 117 12 4 2 1 136 .. .. .. .. .. .. .. .. .. .. .. 20 19 V. 1 Acci. or Neg 39 18 2 1 1 2 24 1 1 1 1 3 1 4 1 2 .. .. 4 6 Fract. and Contus 10 .. 1 .. 1 1 3 .. .. .. 1 1 .. 2 1 2 .. .. 1 .. Wounds 1 .. .. .. .. .. .. .. .. .. .. .. .. 1 .. .. .. .. 3 3 Burns and Scalds.. 6 .. 1 1 .. 1 3 .. .. .. .. 2 .. 1 .. .. .. .. .. 1 Poison 1 1 .. .. .. .. 1 .. .. .. .. .. .. .. .. .. .. .. 2 .. Drowning 2 .. .. .. .. .. .. l 1 .. .. ... .. .. ... .. .. .. 7 6 Suffocation 13 11 .. .. .. .. 11 .. .. 1 .. .. 1 .. .. .. .. .. 3 Otherwise 6 6 .. .. .. .. 6 .. .. .. .. .. .. .. .. .. .. .. 1 1 2. Homecide 2 2 .. .. .. .. 2 .. .. .. .. .. .. .. .. .. .. .. 5 3 3. Suicide 8 .. .. .. .. ... .. ... .. 1 .. 1 3 2 1 .. .. .. .. 1 Wounds 1 .. .. .. .. .. .. .. .. .. .. .. 1 .. .. .. .. .. 2 2 Poison 4 .. .. .. .. .. .. .. .. .. .. 1 1 1 1 .. .. .. ... .. Drowning .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 3 ... Hanging 3 .. .. .. .. .. .. .. .. 1 .. ... 1 1 .. .. .. .. ... ... Otherwise ... .. .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. 1 2 4. Unclassed 3 l .. .. .. .. 1 ... .. 1 .. ... ... .. l .. .. .. TABLE II. DEATHS REGISTERED DURING THE YEAR IN EACH SANITARY DISTRICT. Distinguishing those from certain important Diseases and Classes of Disease. [Deaths in the Workhouse, and also those which could not be correctly referred to their proper District, omitted. ] NAME OP DISTRICT. Total. Zymotic Diseases. Tubercular Diseases. Under 5 years. Phthisis. Respiratory Diseases. Small Pox. Measles. Scarlatina. Diphtheria. Hooping Cough. Diarrhoea, &c. Fever. 1. Highgate Hill 59 16 11 27 7 12 3 2 3 ... 3 2 1 2. Tulfnell 49 7 6 19 4 4 ... 1 3 ... 1 ... 1 3. Belle Isle 36 13 2 21 ... 6 ... 3 5 ... 1 2 2 4. Lwr. Holloway 193 53 35 87 21 39 1 13 5 3 5 7 9 5. Palmer 8 1 2 3 1 1 ... ... 1 ... ... ... 6. Bermerton 258 100 31 145 25 39 4 9 32 8 13 8 8 7. Barnsbury 143 43 21 54 16 17 ... 2 21 1 5 6 5 8. Park Street 37 8 6 18 4 5 ... 1 2 1 3 ... ... 9. Theberton 80 16 18 35 10 12 ... 2 2 2 3 4 1 10. Trinity 115 28 18 38 17 17 ... 2 8 2 2 3 3 11. St. Thomas 68 23 8 36 5 13 ... 3 10 1 5 2 1 12. Wliite Conduit 42 11 9 21 7 5 ... 5 3 ... ... 1 1 13. Canal 210 78 32 127 20 30 1 10 17 2 12 15 7 14. Battle Bridge 73 19 11 34 9 19 ... 4 7 2 1 2 1 15. Archway 89 27 9 39 5 10 3 4 4 ... 7 1 2 16. Hornsey Rise 15 3 1 5 1 3 ... ... 1 1 ... ... ... 17. Freehold 34 12 5 16 4 1 ... 1 8 ... 1 ... ... 18. Hornsey Road 46 9 8 15 5 6 ... 2 4 1 1 1 ... 19. Queen's Road 69 15 11 39 4 11 ... 7 1 ... 1 1 1 20. Highbury Hill 18 4 1 8 1 1 ... ... ... ... ... 1 ... 21. Highbury Yale 17 9 3 8 3 1 ... ... 2 3 2 2 22. Canonbury 141 20 21 50 19 21 ... 3 8 ... 5 1 4 23. Rydon 36 6 8 14 4 5 ... 1 ... ... 2 1 ... 24. Mildmay 56 20 5 22 4 7 ... 2 6 2 1 2 5 25. Kingsland 67 15 15 41 7 12 ... 6 3 1 3 ... ... 26. Balls Pond 87 40 14 54 10 7 ... 19 4 1 5 4 2 27. Market 64 15 13 25 10 10 ... 2 3 2 ... 3 3 28. Rotherfield 93 22 10 38 8 16 ... ... 6 . . . 5 7 2 29. Church 61 11 6 23 5 14 ... 1 3 ... 1 2 2 30. Lower Road 230 72 45 133 25 34 1 8 21 3 10 10 7 31. Shepherdess 106 23 19 50 13 16 ... 1 7 2 2 2 4 32. St. Peter's 71 17 15 34 11 10 ... 2 5 ... 3 2 2 33. Duncan 6 ... 2 1 1 1 ... ... ... ... ... ... 34. Irish Courts 29 9 6 19 2 4 ... 3 ... ... ... 2 3 35. City Road 44 12 2 17 1 7 ... 4 2 ... ... 1 3 TABLE III DISTRICT RATES OF MORTALITY FOR 1802, PER 1000 OF POPULATION (Census of 1861). NAME OF DISTRICT. Total. Zymotic Diseases. Tubercular Diseases. Under 5 years. Phthisis. Respiratory Diseases. Small Pox. Measles. Scarlatina. Diphtheria. Hooping Cough, Diarrhoea, &c. Fever. 1. Highgate Hill 17.8 4.8 3.8 8.1 2.1 3.6 0.9 0.6 0.9 ... 0.9 0.6 0.3 2. Tuffnell 11.0 1.5 1.3 4.3 0.9 0.9 ... 0.2 0.6 ... 0.2 ... 0.2 3. Belle Isle 17.1 6.2 0.9 10.0 ... 2.8 ... 1.4 2.3 ... 0.4 0.9 0.9 4. Lwr. Holloway 20.8 5.7 3.7 9.4 2.2 4.2 0.1 1.4 0.5 0.3 0.5 0.7 0.9 5. Palmer 8.8 1.1 2.2 3.3 1.1 1.1 ... ... ... 1.1 ... ... ... 6. Bemerton 22.3 8.6 2.6 12.5 2.1 3.3 0.3 0.7 2.7 0.6 1.1 0.6 0.6 7. Barnsbury 15.8 4.7 2.3 5.9 1.7 1.8 ... 0.2 2.3 0.1 0.5 0.6 0.5 8. Park Street 13.8 2.8 2.1 6.4 1.4 1.7 ... 0.3 0.7 0.3 1.0 ... ... 9. Theberton 15.3 3.0 3.4 6.7 1.9 2.3 ... 0.3 0.3 0.3 0.5 0.7 0.1 10. Trinity 19.7 4.8 3.0 6.5 2.9 2.9 ... 0.3 1.3 0.3 0.3 0.5 0.5 11. St. Thomas 17.4 5.9 2.0 9.2 1.2 3.3 ... 0.7 2.5 0.2 1.2 0.5 0.2 12. White Conduit 17.1 4.4 3.6 8.5 2.8 2.0 ... 2.0 1.2 ... ... 0.4 0.4 13. Canal 20.1 7.4 3.0 12.1 1.9 2.8 0.09 0.9 1.6 0.1 1.1 1.4 0.6 14. Battle Bridge 25.8 6.7 3.8 12.0 3.1 6.7 ... 1.4 2.4 0.7 0.3 0.7 0.3 15. Archway 15.1 4.6 1.5 6.6 0.8 1.7 0.5 0.6 0.6 ... 1.1 0.1 0.3 16. Homsey Rise 9.1 1.8 0.6 3.0 0.6 1.8 ... ... 0.6 0.6 ... ... ... 17. Freehold 16.2 5.7 2.3 7.6 1.9 0.4 ... 0.4 3.8 ... 0.4 ... ... 18. Hornsey Road 21.4 4.1 3.7 6.9 2.3 2.7 ... 0.9 1.8 0.4 0.4 0.4 ... 19. Queen's Road. 22.6 4.9 3.6 12.7 1.3 3.6 ... 2.2 0.3 ... 0.3 0.3 0.3 20. Highbury Hill 8.0 1.7 0.4 3.5 0.4 0.4 ... ... ... ... ... 0.4 ... 21. Highbury Yale 16.5 8.7 2.9 7.7 2.9 0.9 .. ... 1.9 ... 2.9 1.9 1.9 22. Ouionbury 15.1 2.1 2.2 5.3 2.0 2.2 ... 0.3 0.8 ... 0.5 0.1 0.4 23. Rydon 9.7 1.6 2.1 3.7 1.0 1.3 ... 0.2 ... ... 0.5 0.2 ... 24. Mildmay 25.7 9.1 2.2 10.1 1.8 3.2 ... 0.9 2.7 0.9 0.4 0.9 2.2 25. Kingsland 15.1 3.3 3.3 9.4 1.5 2.7 ... 1.3 0.6 0.2 0.6 ... ... 26. Balls Pond 28.6 13.1 4.6 17.7 3.2 2.3 ... 6.2 1.3 0.3 1.6 1.3 0.6 27. Market 17.1 4.0 3.4 6.6 2.6 2.6 ... 0.5 0.8 0.5 ... 0.8 0.8 28. Rotherfield 16.3 3.8 1.7 6.6 1.4 2.8 ... ... 1.0 ... 0.8 1.2 0.3 29. Church 22.7 4.0 2.2 8.5 1.8 5.2 ... 0.3 1.1 ... 0.3 0.7 0.7 30. Lower Road 21.8 6.8 4.3 12.6 2.3 3.2 0.09 0.7 1.9 0.2 0.9 0.9 0.6 31. Shepherdess 19.5 4.2 3.5 9.2 2.4 2.9 ... 0.1 1.2 0.3 0.3 0.3 0.7 32. St. Peter's 12.6 3.0 2.6 6.0 1.9 1.7 ... 0.3 0.8 ... 0.5 0.3 0.3 33. Duncan 7.3 ... 2.4 1.2 1.2 1.2 ... ... ... ... ... ... ... 34. Irish Courts 27.8 8.6 5.7 18.2 1.9 3.8 ... 2.8 ... ... ... 1.9 2.8 35. City Road 14.7 4.0 0.6 5.7 0.3 2.3 ... 1.3 0.6 ... ... 0.3 1.0 TABLE IV. DEATHS OCCURRING IN EACH WEEK AND QUARTER, DISTINGUISHING CERTAIN IMPORTANT DISEASES AND AGES. [Deaths of Non-Residents in Hospitals, and of Islington Patients in Hospitals elsewhere, not included.] 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 Week ending Jan. 4 Jan11 Jan. 18 Jan 25 Feb. 1 Feb. 8 Feb. 15 Feb 22 Mar. 1 Mar. 8 Mar. 15 Mar. 22 Mar. 29 1st Quarter. Apr. 5 Apr. 12 Apr. 19 Apr. 26 May 3 May 10 May 17 May 24 May 31 Jun. 7 Jun. 14 Jun. 21 Jun. 28 2nd' Quarter. Total 6O 64 54 61 66 51 74 70 53 61 53 57 55 779 58 53 50 42 46 52 54 44 51 41 47 55 61 654 Under 3 years 32 20 19 19 17 19 24 22 20 21 20 18 15 266 28 26 25 24 18 21 22 20 15 12 21 22 24 278 70 years and upwards 6 9 6 6 11 4 10 12 6 8 7 4 6 95 6 4 6 3 4 4 7 5 7 3 4 7 13 73 Zymotic diseases 16 10 18 12 19 12 14 18 11 18 13 16 14 191 6 15 16 12 10 8 0 6 10 7 14 25 13 148 Small Pox ... ... ... ... ... ... ... ... ... 1 ... 1 ... 2 ... ... ... ... ... ... ... ... ... ... ... ... ... Measles 1 ... ... 1 ... 1 1 ... ... 2 1 2 1 10 2 ... ... 2 ... 1 ... ... ... 1 2 5 3 16 Scarlatina 7 5 7 4 10 4 5 5 3 4 3 2 4 63 3 3 5 4 1 ... 1 2 1 2 5 4 1 32 Diphtheria & Sore Throat ... ... 2 1 ... 1 2 1 3 1 ... ... ... 11 ... ... 1 ... ... 1 ... ... 1 1 ... 1 1 6 Hooping Cough 4 2 2 ... 6 3 ... 4 ... 3 3 3 1 31 ... 7 3 3 4 3 2 1 3 ... 2 3 1 32 Diarrhœa and Dysentery ... ... ... ... 1 ... ... ... 2 1 ... 1 ... 5 ... 1 2 ... 1 1 ... ... ... 1 1 5 2 14 Cholera ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... continued Fever 2 2 4 1 1 1 4 4 2 2 4 6 3 36 1 2 3 2 1 ... 3 1 2 2 2 3 3 25 Phthisis 6 8 4 11 6 6 6 6 3 7 4 10 7 84 6 7 3 4 8 6 10 4 5 6 6 4 4 73 Dis. of Respy. Organs 12 13 11 15 15 6 18 31 12 7 16 10 7 155 14 5 9 3 b 12 8 7 13 8 8 5 12 109 Mean Temperature 34.1° 42.9° 35.0° 36.1° 45.8° 43.2° 36.2° 45.4° 37.4° 40.1° 44.9° 39.2° 47.9° 41.1° 48.6° 43.8° 43.5° 54.2° 53.6° 57.5° 51.9° 55.6° 57.6° 58.6° 55.3° 54.9° 56.2° 53.3° Difference from the mean of each month and quarter + 0.9° + 2.5° + 1.3° + 2.6° + 2.1° + 2.9° —1.8° + 1.2° 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 Week ending July 5 July 12 July 19 July 26 Aug. 2 Aug9 Aug. 16 Aug. 23 Aug. 30 Sept. 6 Sept. 13 Sept. 20 Sept27 3rd Quarter. Oct 4 Oct. 11 Oct. 18 Oct. 25 NTOV. Nov 8 Nov. 15 Nov. 22 Nov. 29 Dec. 6 Dec. 13 Dec* 20 Dec. 27 4th Quarter. Total 56 59 54 57 57 42 59 41 44 40 45 53 56 663 60 48 46 50 60 79 73 67 84 89 91 80 85 892 Under 3 years 24 20 23 21 23 23 ?9 22 20 17 17 22 25 286 19 21 20 21 30 27 26 24 32 33 40 39 21 353 70 years and upwards 3 8 2 8 3 6 5 1 4 6 4 7 7 61 4 9 5 5 6 13 b 4 13 14 12 7 4 101 Zymotic diseases 21 13 18 14 18 14 24 14 16 15 17 16 17 217 17 16 12 18 16 21 25 26 25 25 30 22 279 Small Pox ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... 1 1 1 ... 2 26 1 2 4 12 Measles 6 3 4 4 6 4 3 2 ... 2 1 ... 1 36 2 1 2 2 1 7 5 6 7 7 7 7 7 61 Scarlatina 4 1 5 1 4 2 4 1 4 1 4 5 4 40 6 6 2 5 6 5 8 6 6 8 4 11 5 78 Diphtheria & Sore Throat 2 1 1 ... ... ... 2 ... ... 3 3 1 2 15 ... 2 2 ... ... ... ... ... 1 1 ... 1 ... 7 Hooping Cough ... 2 2 2 2 1 1 2 ... 1 1 ... 2 15 1 ... ... 3 2 2 2 5 2 3 6 3 1 30 Diarrhœa and Dysentery 2 2 ... 4 4 5 8 8 4 3 3 5 4 51 2 4 2 2 3 2 ... 3 1 ... 1 1 ... 21 Cholera ... 1 ... 1 ... ... 1 1 2 ... ... ... ... 6 ... ... ... 1 ... ... ... ... ... ... ... ... ... 1 Continued Fever 1 ... 3 1 2 1 3 ... 6 2 1 1 3 24 3 1 2 2 1 2 6 2 ... 3 2 3 2 29 Phthisis 4 10 7 9 5 6 6 1 2 2 3 6 5 66 6 6 4 7 10 12 9 7 8 8 7 5 4 93 Dis. of Respy. Organs 3 6 6 6 5 4 2 4 5 3 5 5 5 59 8 9 1 4 9 13 9 10 10 11 13 12 17 135 Mean Temperature 56.8° 58.2° 59.5° 60.1° 61.3° 59.7° 58.7° 59.6° 58.6° 57.0° 58.0° 58.6" 56.6° 58.7° 58.1° 56.3° 53.9° 47.4° 46.8° 44.9° 37.3° 38.3° 37.1° 44.8° 44.1° 42.1° 42.2° 45.0° Difference from the mean of each month and quarter —2.7° —1.9° +0.8° —0.7° +1.8° —2.9° +3.5° + 1.4° TABLE V. NEW CASES OF DISEASE COMING UNDER TREATMENT DURING THE YEAR ENDING SATURDAY, THE 27th DAY OF DECEMBER, 18C2, AT THE FOLLOWING INSTITUTIONS:— Workhouse. Infant Poor House. Out Patient Paupers. Islington Dispensary. Holloway Dispensary. Pentonville Convict Prison Total. Small Pox ... ... 61 4 14 1 80 Chicken Pox ... 3 38 14 31 ... 86 Measles ... ... 478 66 196 ... 740 Scarlatina ... 1 226 52 42 ... 321 Whooping Cough 5 ... 170 47 82 ... 304 Croup ... ... 12 ... 6 ... 18 Diarrhœa 39 ... 619 137 267 75 1137 Dysentery ... ... 21 6 4 ... 31 Cholera ... ... ... 1 ... ... 1 Ague ... ... 5 ... 5 1 11 Continued Fever 21 ... 126 50 151 ... 348 Puerperal Fever 1 ... ... ... 4 ... 5 Rheumatic Fever 14 ... 31 22 30 2 99 Erysipelas 4 ... 101 32 30 ... 167 Diptheria ... ... 4 4 16 ... 24 Sorethroat or Tonsillitis 4 1 277 79 221 4 586 Pyæmia ... ... ... ... ... ... ... Bronchitis and Catarrh 176 1 2595 580 873 435 4660 Pneumonia 3 ... 4 15 30 2 54 Pleurisy ... ... 26 4 13 1 44 Delirium Tremens 6 ... 1 1 3 ... 11 Insanity 20 ... 48 ... 3 1 72 Carbuncle ... ... 11 4 5 ... 20 All other diseases 505 130 6148 6990 4940 1479 20192 Total 798 136 11002 8108 6966 2001 29011 TABLE VI. COMPARATIVE TABLE OF DEATHS DURING THREE YEARS IN THE SEVERAL SANITARY DISTRICTS, WITH THE DEATH RATE IN EACH ON THE MEAN OF THREE YEARS. Name of District. All Causes. Three Tears' Mean. Mean Mortality per 1000 of Population. Zymotic. Tubercular. Under 5 Years. 1860. 1861. 1862. 1860. 1861. 1862. 1860. 1861. 1862. 1860. 1861. 1862. *1. Higligate Hill 38 46 59 47.6 14.4 6 7 16 8 14 11 14 18 27 *2. Tuffnell 46 49 49 48.0 10.8 8 12 7 9 9 6 9 16 19 3. Belle Isle 32 26 36 31.3 14.9 5 9 13 8 3 2 23 20 21 *4. Lwr. Holloway 174 187 193 184.6 19.2 43 54 53 24 37 35 91 93 87 5. Palmer 24 14 8 15.3 16.9 8 3 1 2 3 2 11 7 3 *6. Bemerton 230 255 258 247.3 21.4 58 86 100 34 35 31 153 152 145 7. Barnsbury 119 150 143 137.3 15.1 30 39 43 20 19 21 43 57 54 8. Park Street 37 41 37 38.3 13.7 5 7 8 33 4 6 10 11 18 9. Theberton 107 105 80 97.3 18.9 23 29 16 23 14 18 50 39 35 10. Trinity 96 112 115 107.6 18.4 17 35 28 11 20 18 38 52 38 11. St. Thomas 76 69 68 71.0 18.2 18 22 23 14 8 8 36 28 36 12. White Conduit 61 42 42 48.3 19.7 16 16 11 12 6 9 31 26 21 13. Canal 194 188 210 197.3 18.9 58 61 78 29 26 32 100 109 127 14. Battle Bridge 67 63 73 67.6 23.9 13 19 19 16 12 11 38 38 34 *15. Archway 74 83 89 82.0 13.9 17 22 27 8 13 9 31 23 39 *16. Hornsey Rise 14 14 15 14.3 8.7 2 3 3 1 3 1 2 3 5 *17. Freehold 31 39 34 34.6 16.5 15 13 12 4 11 5 16 25 16 *18. Hornsey Road 36 23 46 35.0 16.7 2 6 9 5 3 8 11 8 15 *19. Queen's Road 61 50 69 60.0 19.6 13 21 15 10 6 11 31 35 39 20. Highbury Hill 24 26 18 22.6 10.1 2 6 4 5 5 1 11 9 8 21. Highbury Vale 23 19 17 19.6 19.1 9 6 9 4 3 3 11 6 8 22. Canonbury 131 146 141 139.3 14.9 22 31 20 22 29 21 48 53 50 *23. Rydon 33 48 36 39.0 10.5 9 12 6 5 3 8 11 11 14 *24. Mildmay 37 37 56 43.3 19.9 11 13 20 2 8 5 12 20 22 25. Kingsland 106 93 67 88.6 20.0 20 28 15 20 13 ]5 57 50 41 26. Balls Pond 78 102 87 89.0 29.2 23 38 40 11 9 14 41 55 54 *27. Market 51 42 64 52.3 13.9 12 16 15 7 8 13 24 15 25 28. Rotherfield 103 106 93 100.6 17.6 25 37 22 11 21 10 52 56 38 29. Church 60 54 61 58.3 21.7 15 14 11 6 9 6 27 22 23 30. Lower Road 217 227 230 224.6 21.3 37 58 72 29 36 45 118 131 133 *31. Shepherdess 85 115 106 102.0 18.8 25 33 23 15 20 19 36 58 50 32. St. Peter's 85 119 71 91.6 16.3 11 22 17 13 27 15 43 51 34 33. Duncan 9 13 6 9.3 11.3 ... 3 ... ... ... 2 ... 4 1 34. Irish Courts 33 24 29 28.6 27.5 10 7 9 8 4 6 19 17 19 35. City Road 55 52 44 50.3 16.8 15 11 12 8 6 2 30 27 17 The Districts marked thus (*) are those which at the time of the Census were increasing in population, as indicated by the erection of new houses TABLE VII. Showing the proportion of Families to each Death of a Child, under 5 Years of Age in the several Sanitary Districts and Groups* of Districts. Calculated upon a Mean of the Three Years, 1800—2. % r « [arranged in each group in the order op highest mortality.] Group 1. Group 2. Group 3 District. Mean Annual Deaths of Infants. No. of Families to each Infant Death. District. Mean Annual Deaths of Infants. No. of Families to each Infant Death. District. Mean Annual Deaths of Infants. No. of Families to each Infant Death. Mildmay 18. 28.3 Freehold 19. 23. Irish Courts 18.3 11.8 Shepherdess 48. 30.2 Lr. Holloway. 90.3 23.4 BallsPond 50. 14.2 Highbury Hill 9.3 31.1 Kingsland 49.3 23.7 Battle Bridge. 36.6 14.9 Barnsbury 51.3 35.9 Highbury Yale 8.3 24.2 Bemerton 150. 18.9 Market 21.3 35.9 Church 24. 28.5 Lower Road 127.3 19.8 Canonbury 50.3 41.6 Theberton 41.3 29.4 Belle Isle 21.3 20.9 Hornsey Road. 11.3 43.8 Rotherfield 48.6 29.5 Queen's Road. 35. 21. Tuffnell 14.3 49.6 St. Thomas 33.3 30.1 Canal 112. 21.4 Rydon 12. 52.9 Palmer 7. 30.8 Wht. Conduit. 26. 24.5 Hornsey Rise 3.3 86. Highgate Hill 19.6 34.6 City Road 24.6 30.6 Duncan 1.6 100. St. Peter's 42.6 35.3 Trinity 42.6 36.4 Archway 31. 41.2 Park Street 13. 44.4 Whole Group 241.3 38.2 Whole Group 470.3 29.9 Whole Group 601.8 19.6 *The First Group embraces the piore wealthy districts of which the numbers are not underlined on the map. The Second Group embraces those with a more mixed population, of which the numbers are singly underlined on the map. The Third Group embrace those with tt population more or less poor ahd negligent, doubly underlined on the map. TABLE VIII. HOUSES INSPECTED AND SANITARY IMPROVEMENTS EFFECTED, From March 26th, 1862, to March 25th, 1863. West District. East District. Whole Parish. Number of Houses inspected 328 395 723 Drains Constructed 56 75 131 Improved or repaired 103 251 354 Traps fixed 229 305 534 Cesspools Abolished 47 93 140 Cleansed or disinfected ... ... ... Privies and Water Closets Pan, trap, and water supply furnished 36 83 119 Pan and trap only furnished . 14 6 20 Water supply furnished. 53 143 196 Dust Bins Constructed 80 78 158 Repairs and covers adapted . 59 55 114 Surface Drains and Pavements of Yards Constructed . ... 47 47 Relaid 78 96 174 General Water Supply . New receptacle provided 10 36 46 Receptacle repaired and cleansed 22 54 76 Water supply provided . 2 3 5 Other Improvements . Houses generally repaired 12 65 77 „ cleansed or limewaslied 84 133 217 „ ventilated ... 1 1 Overcrowding abated 26 9 35 Illegal use of underground rooms for sleeping discontinued 14 18 32