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Asylums Board, or to other Hospitals, and 1046, i.e. 38.8%
remained under treatment at their own homes. These
percentages are more satisfactory than during the last eight
years, i.e., since the introduction of the Notification Act
and the tabulation of cases removed to Hospital. In 1891,
366 % of the total Zymotic cases notified were removed; in
1892, 33.7% ; in 1893, 23% ; in 1894, 339% ; in 1895, 30 4% ;
in 1836, 43% ; in 1897, 49 % ; in 1898, 55.97; whilst in 1899,
the numbers removed form 612 % of the total cases. During
1899, 16.7 % puerperal fever, 6 4% erysipelas, 72 4% scarlet
fever, 59.8 % typhoid, 70'5 % diphtheria, 14.3 % continued
fever and 9T % membranous croup, were removed to
Hospital respectively.
Table L gives the averages of Notification Certificates
received in Lambeth since 1890, and it will be seen that
during 1899 the total number is practically the average—
the greatest number of Notifications being received in
1893—though the incidence per 1000 of the population
during 1898 is .4 below the average incidence for the nine
years 1890-98 (i.e., since the introduction of the Compulsory
Notification Act).
The three cholera cases were probably cholera nostras
(English cholera), or infantile diarrhoea.
The diphtheria increase is again a serious one—a total of
1081 notifications being received during the year 1899, i.e.,
45.9 % above the average for the last nine years. The cases
occurred in 964 infected houses, and in only 15.1% of these
were the drains, on testing, found detective. For fuller
details as to this increase in diphtheria, vide pp. 51-52.
The enteric fever (or typhoid) notifications were also
above the average, and represent only 209 infected houses,
of which 14 4 % of the drains were shewn, on testing, to be
defective. The notifications received during 1899 were
219, as compared with 163 during 1898. This increase in
the amount of typhoid in Lambeth during 1898 is explained
on pp. 56-56 (vide also Appendix).