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Case 4. M. M., male, age 34, a builder's labourer, was admitted on August 4th, with early
consolidation at apex of left lung. He had also been treated at the Dispensary lor tuberculous
ulceration of the larynx, which was practically healed before he was admitted to the Sanatorium.
He stayed for 12 weeks. Report on discharge, " Progress fair—general health much improvedstill
some cough; has been able to do heavy garden and farm work. Before admission he had
been out of work for 12 months, but not through ill-health. He is now employed in gardening
work at Kensal House, but the larynx is again affected.
The fact that provision had been made by the Council in the Maitland Sanatorium was
brought to the notice of the Dispensary Committee, and their Medical Officer early in May, but
out of the very large number of Kensington patients in their charge, only two were recommended
by the Dispensary to apply for sanatorium treatment at the Council's expense. 1 he Dispensary
Committee do not themselves provide sanatorium treatment for Kensington patients, and the result
of their inability to find suitable cases has been that the Council's bed in the Maitland Sanatorium
remained vacant from October 27th to November 29th. Ihe patient admitted on the latter date
was recommended by one of the Medical Officers at the Brompton Hospital.
Open-Air School.—In June, 1911, an open-air school for the reception of 120 scholars, drawn
from among the children attending the Dispensary, was opened at Kensal House in the Harrow
Road, in a district which is easily accessible from the northern parts of the Borough of Kensington.
The school is attended by a number of Kensington children, but details will not be available until
tlie report of the Dispensary Medical Officer has been published. Funds for maintenance are
derived from voluntary contributions; the cost of teaching is paid for by the London County
Council.
Other Forms of Tuberculosis.—Other forms of tuberculosis not included under the head
of phthisis caused 48 deaths, and of these 31, or more than half, occurred in children under the age
of five years. Reference to the table at the beginning of the section on Tuberculosis will show that
between the years 1901 and 1908 the death-rate from these diseases was subject to fluctuations, but
did not decline to any marked extent. It is, therefore, highly satisfactory to report that the rate of
50 per IDO.OOO persons living, which was recorded in 1907, was followed in the next two years by
rates of 46 and 40, and finally by a rate of 28 in the year 1911.
CANCER.
Cancer caused 197 deaths, and of this number 178 occurred in persons over the age of 45 years.
Carcinoma was the form of cancer to which 92 deaths were attributed ; sarcoma was the assigned
cause of 8 deaths; 97 deaths were certified as due to cancer or malignant disease without further
definition.
The parts of the body which were affected in each case are shown in the following table:—

The numbers following the description of the parts affected refer to the classification of cause
of death adopted by the Registrar General for use in England and Wales.