DISTRIBUTION OF TUBERCULOSIS 103 
The death rate per 1,000 population from Tuberculosis in the various 
districts is as follows : — 
TABLE III 
District 
Death Rate per 1,000 from Tubi 
rculosis 
Average 
these rates 
1895 
1896 
1897 
1898 
Scotland 
3.68 
3-9 1 
3.90 
3-5i 
3-75 
Exchange 
S-36 
5.21 
4.48 
4-39 
4.86 
Abercromby 
3.OO 
2.8+ 
2.81 
2.64 
2.82 
Everton... 
2-55 
2.69 
2-43 
2.8O 
2.63 
Kirkdale 
2.77 
1.94 
2.00 
I.9I 
2.15 
West Derby 
3-i3 
2.78 
2.88 
I. 8l 
2.65 
Toxteth 
2.1 1 
2.16 
2.22 
1.94 
2. 1 1 
Walton... 
1.76 
1.45 
1.42 
i-33 
1.49 
West Derby (rural) 
1.76 
1.74 
1.62 
1.54 
1.6+ 
Wavertree 
2.51 
1.42 
1.52 
1.54 
T -75 
Toxteth (rural) 
1. 12 
1.25 
1.46 
1.22 
1.26 
The death rate from Tuberculosis in Scotland is seen to be 3 times as great 
as in Toxteth (rural), while in Exchange the rate is nearly 4 times as great. In 
Abercromby, Everton, and West Derby, which are also crowded districts, it is more 
than twice as great. This bears out our generally accepted belief that Tuberculosis is 
a disease which is fostered by and varies with the density of the population and the 
general hygiene observed by the inhabitants of the district. But, on studying 
Table II, it is seen that the general death rate per thousand is more than 3 times 
as great in Scotland as in Toxteth (rural), and in Exchange almost 4 times as great ; 
while in Abercromby, Everton, and West Derby it is more than twice as great. So 
that the same influences which increase Tuberculosis in the crowded districts are also 
active agents in the increase of other diseases, and in about the same proportion. 
This appeared to me to be unusual. Although we expect the general death rate to be 
greater in the poorer parts, and with it the Tuberculosis death rate also increased, we 
would be inclined to look for more than a proportionate increase in the deaths from 
Tuberculosis. 
To judge more fairly the occurrence of the disease in the various Wards I 
prepared the following table, showing what percentage of deaths is due to Tuberculosis; 
