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73
Notification of Address.—Of the notifications, 216 were
received from Tenement Houses, 188 from Common Lodging
Houses, 48 from Model Buildings, 11 from Private Houses, and
2 from Hotels.
Many of the cases removed elsewhere almost at once after
notification, presumably to evade supervision and inspection-these
disappeared completely and were not traced further.
The Model Buildings with their common landings, the tenement
houses with their many points of contact between the families
who occupy them, are too well adapted for the further spread of
the disease-in these the isolation of patients is almost impossible
over the long period of time-years it may be-during which
phthisis lasts. And as a rule the patient, though anxious at first
to carry out the requisite instructions and to prevent infecting his
neighbours, tends to tire of the restrictions he is subjected to, and
becomes careless.
The supply of Model Buildings and tenement houses on easy
terms is an excellent provision from a philanthropic and humane
standpoint; but it has this reacting incident-these buildings
afford the greatest facilities for the dissemination of consumption.
Districts whose inhabitants are poor, where the density of population
on area is greatest, where the proportion of model dwellings
and tenement houses is high, where common lodging house
accommodation is large or tramps many, where cheap restaurants
abound, where charitable efforts are prominent, where alcoholism
is rife, where the air is moist, where there is crowding or overcrowding
in rooms, where lighting is poor, sunlight absent and
ventilation insufficient, where labour is arduous and pay poorthese
are the districts where consumption will be found common
and where the disease is easiest disseminated.
Residences during Illness.-The addresses of the patients
during their illness and before notification were investigated. In
85 cases the patients had lived at two addresses while suffering
from consumption, 37 patients had had three addresses, 7 had had