THE DISTRIBUTION OF TUBERCULOSIS IN 
LIVERPOOL 
J. H. ELLIOTT, M.B. (Tor.) 
Considering the great importance of the study of the distribution of 
Tuberculosis in our large cities, I have taken advantage of the opportunity afforded me 
by a short residence in Liverpool to make a few notes regarding the occurrence of 
the disease throughout the city. 
The incorporated area of the city is 13,236 acres, over 700 of which are 
occupied by docks and quays. The estimated population in 1898 was 668,645 ; the 
figures given by the last census were 629,443. This population of 50.5 to the acre 
is only exceeded in Great Britain by London, West Ham, and Glasgow, while Brighton, 
Bolton, and Edinburgh have about the same number per acre. 
The city is divided into 1 1 Wards, the population of these varying from 9.8 
per acre in Wavertree to 160.4 P er acre m Everton. Four of the Wards — 
Walton, West Derby (rural), Wavertree, and Toxteth (rural) were added to the city in 
1895. They are practically suburban; Walton, with 29.8 per acre, being the most 
densely populated. The remaining Wards have a population of over 100 per acre, 
with the exception of Abercromby and Exchange ; but considering the areas in these 
Wards, occupied by large retail shops, warehouses, municipal and other public 
buildings, the actual population per acre, in the part occupied by householders, will be 
much above the stated figures. 
The following table shows the population per acre for the various Wards, as 
estimated by the Medical Officer of Health for the years 1 895-1 898 inclusive : — 
TABLE I 
Population per acre 1891 
1896 
1897 
1898 
Scotland ... 
122.3 
1 19.0 
115.5 
128.0 
Exchange 
85.8 
82. 5 
99-5 
89.2 
Abercromby 
76.0 
744 
73-3 
75.1 
Everton ... 
159-7 
'59-7 
159-7 
1604 
Kirkdale ... 
96.0 
96.+ 
96.7 
102.8 
West Derby 
1 17. 1 
117.8 
125-3 
Toxteth ... ... | 
1 17.8 
123-5 
1254 
I2+.6 
•3+o 
173-4 
Walton ... 
274 
29.1 
30.7 
29.8 
West Derby (rural) ... 
12.9 
1 3. 1 
1 3.2 
14.0 
Wavertree 
8.2 
8.4 
8.6 
9.8 
Toxteth (rural) 
21.9 
2 3-5 
25.1 
25.2 
