A = Smallpox B = Measles C = Scarlet fever D = Diphtheria E = Whooping cough F = Fever G = Diarrhœa H = Tuberculosis Disease I = Respiratory Disease -----------+------+---+-----+-----+-----+-----+----+-----+-----+------ | All | | | | | | | | | |Causes| A | B | C | D | E | F | G | H | I -----------+------+---+-----+-----+-----+-----+----+-----+-----+------ Lancashire |72,795| 37|5,053|2,454| 706|3,805|285 |6,461|5,364|17,037 London |68,164|240|4,743|1,780|1,371|5,342|165 |5,444|6,581|16,021 Hampshire |42,222| 10|2,005| 505| 939|2,508|280 |2,783|3,299| 9,011 Dorsetshire|35,651| 4|1,748| 488| 493|1,815| 62 |1,305|2,401| 9,390 -----------+------+---+-----+-----+-----+-----+----+-----+-----+------ I have also thrown in Hampshire, because not only is it my own county, but it is a mixed county, largely rural, but also containing the big towns of Southampton and Portsmouth. Looking at these four in tabular form, we see that in Lancashire the mortality from measles, scarlet fever, fever, diarrhœa, and respiratory disease was greater than in London; and in London the mortality from small-pox, diphtheria, whooping cough, and tuberculous disease was greater than in Lancashire. In Hampshire and Dorsetshire the mortality was very much less from every cause than in either Lancashire or London. It is important to point out that the deaths of children from tuberculous disease are greater in London than in any other county, and that the deaths from tuberculous and respiratory diseases combined are greater in London than in Lancashire. We have seen that the mortality of children under five averaged for the whole of London 68,164 in the decennium 1881-90, while that for England and Wales was 56,825, or, omitting the last three figures, let us say they were 68 and 57. Examining the various registration districts more closely, we find that the child mortality was less than the average for England and Wales in four London districts only, viz., Lewisham (44), Hampstead (48), Woolwich (51), and Wandsworth (56), districts which are all on the outskirts of the place we call London. Certain other districts had a child mortality less than the average of London as a whole, viz., Camberwell (59), Hackney (60), Islington (61), Paddington and Kensington (63), Greenwich (63), St. Pancras (66), Fulham, Poplar, and Lambeth (67). All the other districts had a child mortality greater than the average of London, viz., Mile End (69), St. George's, Hanover Square (71), Westminster (72), Chelsea and St. Olave's (73), Marylebone (75), Bethnal Green (76), Shoreditch (78), St. Saviour's (79), St. Giles's (80), Holborn (82), Whitechapel (85), St. George's in the East (87), the City (90), Stepney (99) and the Strand (109).