While the first epidemic of the series was universal and of short duration all over the kingdom, the second and third were more partial in their incidence and more desultory or prolonged. The second, which began in Hull (and at the same time on the borders of Wales), produced the following highest weekly death-rates per annum from all causes among 1000 persons living:
Highest Weekly Death-rates in the Second Influenza.
1891
| Week ending | Annual death-rate from all causes per 1000 living | ||||
| Hull | Apr. | 11 | 42·5 | ||
| Sheffield | May | 2 | 70·5 | ||
| Halifax | " | 2 | 42·1 | ||
| Leeds | " | 9 | 48·5 | ||
| Manchester | " | 9 | 43·6 | ||
| Bradford | " | 16 | 56·7 | ||
| Huddersfield | " | 16 | 54·5 | ||
| Leicester | " | 16 | 44·6 | ||
| Oldham | " | 23 | 50·4 | ||
| London | " | 30 | 28·9 | ||
| Salford | " | 30 | 45·9 | ||
| Blackburn | June | 6 | 48·5 | ||
The third was heard of first in the west of Cornwall and in the east of Scotland, in the last quarter of 1891. It was in the following English towns that it produced the maximum weekly death-rates per annum from all causes:
Highest Weekly Death-rates in the Third Influenza.
1892
| Town | Week ending | Annual death-rate from all causes per 1000 living | |||
| Portsmouth | Jan. | 16 | 57·0 | ||
| London | " | 23 | 46·0 | ||
| Norwich | " | 23 | 44·7 | ||
| Brighton | " | 23 | 60·9 | ||
| Croydon | " | 30 | 47·2 | ||
These highest death-rates in the third successive season of influenza were all in the southern or eastern counties; in the latter, Colchester also had a maximum death-rate during one week of about 80 per 1000 per annum. Liverpool, among the northern great towns, appears to have had most of the third influenza. The fourth outbreak, in the end of 1893, was noticed first in the Midlands (Birmingham especially), and was afterwards heard of in the mining and manufacturing districts of Staffordshire, South Wales, Lancashire, Yorkshire and Durham, as well as in Scotland and Ireland, London, as in the table, having a share of it. The tables given of the London mortality in each of the four outbreaks, from influenza and the chest-complaints which were its most usual secondary effects, are a fair index both of the period and of the severity of the disease all over the kingdom in each of its successive appearances[748]. Everywhere the first and the fourth were the mildest, the second and third the most fatal. Deaths from “influenza” were reported from all the counties of England and Wales in the first and second epidemics, the highest rates of mortality per 1000 inhabitants in the corresponding calendar years having been in the following counties, while in all the counties the greater fatality of the second epidemic is equally marked: