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manner that would be impossible at home.
Moreover, during his absence his friends
would be relieved from a source of anxiety,
and an opportunity would be given for a
thorough cleansing and disinfection of the
home, to which the patient would return
much improved in health and perhaps on the
high road to complete recovery.
(b) Advanced Cases.—When a patient suffering from
Tubercular Phthisis is in such an advanced
stage of the disesase that he is no longer able
to work for his living, he usually becomes a
source of danger to his family; he gets feeble
and bedridden, and his cough violent, with
frequent and profuse expectoration. His infectivity
is now great and it is almost impossible
to prevent (in the homes of the poor)
communication of the disease to others. In
these circumstances the provision of institutional
treatment becomes an absolute necessity.
In Bethnal Green, most of these
advanced cases gravitate into the Infirmary,
but many others remain at home to die. I
am strongly of opinion that additional measures
are urgently required for the housing
and care of such unfortunates without the
necessity of inflicting upon them the stigma
of pauperism.
DISEASES of PARTURITION.
Six cases of puerperal fever were reported, but only
one death from this disease was recorded ; four of the