THE SERVICES

1899 The Lancet  
923 cooperating with the corporation and that many of the cowkeepers are voluntarily submitting their cows to the tuberculin test. Cattle which are found to react to the test are separately housed and sold to the butcher as early as possible. VITAL STATISTICS. HEALTH OF ENGLISH TOWNS. IN 33 of the largest English towns 6211 births and 5061 deaths were registered during the week ending March 25th. The annual rate of mortality in these towns which had increased in the five preceding weeks from
more » ... 5 to 23-3 per 1000 declined again last week to 23-1. In London the rate was 23-2 per 1000, while it averaged 23'1 in the 32 provincial towns. The lowest death-rates in these towns were 13'2 in Cardiff, 16-1 in Huddersfield, 17-4 in West Ham, and 18'0 in Bristol; the highest rates were 28'0 in Salford, 29 4 in Wolverhampton, 32'9 in Oldham, and 33'5 in Manchester. The 5061 deaths in these towns included 397 which were referred to the principal zymotic diseases, against 409 I and 417 in the two preceding weeks; of these 154 ' ' resulted from whooping-cough, 91 from measles, 81 from diphtheria, 31 from diarrhoea, 20 from "fever" (principally enteric), and 20 from scarlet fever. The lowest death-rates from these diseases were recorded in Croydon, Birmingham, Oldham, and Newcastle-upon-Tyne; and the highest rates in 'West Ham, Plymouth, Derby, and Salford. The greatest mortality from measles occurred in West Ham, Bolton, Manchester, Salford, and Newcastle-
doi:10.1016/s0140-6736(01)68411-3 fatcat:yc6liwdtu5gt7k6l4ihoqkjlym