Note 64 — APPENDIX. (continued 3)

Mr. J. Paul, the Registrar of St. James’s District.—In what parts of your district has the greatest number of deaths occurred from small-pox, measles, scarlatina, hooping-cough, diarrhœa, dysentery, cholera, influenza, or fever (typhus)? And in what parts have epidemic diseases been most fatal?—“I do not know. Neither small-pox, scarlatina, measles, whooping-cough, diarrhœa, nor influenza has been peculiarly localized. My experience of a longer date as surgeon to the poor of the district leads me to believe that cholera, dysentery, and typhus fever have been more prevalent in London-street and its vicinity, and the Tar-yard. In both these places drainage is bad; and the inhabitants of the former locality obtain their supply of water from a running ditch—a common receptacle for everything, where a hundred cloacina empty themselves. Drainage is bad in many parts of the district; lots of small houses are built; streets of a better description unfinished; their proprietors, who look only to the cash returns, pay little attention to the drainage or cleanliness. There appears to be no remedy for these calamities. The supply of water is now pretty good.”