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The notifications received were equal to 16 2 per 1,000 of the population.
For the year 1892 the rate was 12 per 1,000. The number of cases of Small
Pox and Puerperal Fever has diminished, but there has been a great increase
in the number of Scarlet Fever, Diphtheria, and Erysipelas cases notified.
It will be observed that during the third and fourth quarters of the year
only 24.6% and 19.6% respectively, of the notified cases were removed. This
was due to the authorities of the Metropolitan Asylums Board being unable to
receive them into their hospitals, from want of sufficient accommodation.
The Fees paid to practitioners for notification certificates of infectious diseases
during the year 1893, amounted to £231 12s. 6d.
The infectious diseases which are required to be notified by the Public
Health (London) Act, 1891, are as follows:—Small-pox, Cholera, Diphtheria,
Membranous Croup, Erysipelas, the disease known as Scarlatina or Scarlet
Fever, and the fevers known by any of the following names—Typhus,
Typhoid, Enteric, Relapsing, Continued, or Puerperal.
METROPOLITAN ASYLUMS BOARD.
Owing to the increasing disposition on the part of the public to make
use of their hospitals, together with the further demands on the resources
of the Managers consequent on compulsory notification, the accommodation
for fever and diphtheria patients was insufficient to meet the demands made
upon it during the latter part of the year. The subjoined is abstracted
from the report of the Chairman of the Metropolitan Asylums Board (Sir
E. H. Galsworthy) the Statistical Committee, and the Ambulance Committee.
The accommodation in the fever hospitals, for the second time in the history
of the Board, proved insufficient to meet the usual autumnal increase of
scarlet fever, and the Managers were compelled for some months, to limit