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Joyce Green Estate.—On this site, adjacent to the river Thames, some three hundred
acres in extent, which (with considerable additions of intervening land connecting the estate with
the hospital ships) the Managers have acquired, they are building a hospital for 400 patients, at a
cost of £220,000.
It thus appears that the Metropolis is endowed, in possession or in early prospect, with
accommodation for at least 6,000 patients suffering from fever and diphtheria, a number precisely
double that recommended by the Royal Commission, irrespective of many hundred beds at Gore
Farm generally available for convalescent cases in the abeyance of small-pox. Time only can
determine whether this provision will suffice for the requirements of the metropolis. For small-pox
patients the accommodation is, or will be, to the extent of some 1,900 beds : a number, I repeat,
considerably below the recommendation of the Royal Commission (2,700), but which I believe will
suffice, seeing how much more effectually this disease has been controlled since the practice was
adopted of removing the sick out of London for isolation and treatment, initiated, upon my advice,
in May, 1881, and subsequently perfected by the Managers, who, since 1884, have ceased to use the
town hospitals for small-pox, removing, direct from their homes, to the ships, all patients suffering
from this disease—with beneficent results as the statistics of mortality eloquently testify.
NOTIFICATION OP INFECTIOUS DISEASE.
The tables at pages 43-46 show (1) the number of notifications in London in 1900, (2) the relative
prevalence of the several diseases at different periods of the year, in Kensington and in London,
(3) the notifications in the sanitary districts, &c., of the borough, and (4) the case and death-rate
of infectious diseases in Kensington, 1890-1900. The Kensington notifications were 986, viz., in
the Town sub-district 801, and in Brompton 185. The notifications in the seven preceding years
were 1,811, 972, 1,289, 1,781, 1,457, 1,004, and 1,046 respectively. Table XIV. (appendix, p. 99)
shows the streets, &c., where cases of the scheduled diseases occurred in 1900. The cases notified
in London, 35,304, were 7,000 fewer than in 1899. The notifications of each of the scheduled
diseases during the eleven years, 1890-1900, are set out in the subjoined table.
Year,
Small pox.
Scarlet Fever.
Diphtheria.
Enteric Fever.
Typhus Fever.
Other Continued
Fevers.
Puerperal Fever.
Erysipelas.
Croup.
Cholera.
Relapsing Fever.
Total.
1890
1891
1892
1893
1894
1895
1896
1897
1898
1899
1900
60
114
423
2,813
1,192
978
225
105
35
29
87
15,330
11,398
27,096
36,901
18,440
19,757
25,638
22,876
16,917
18,112
13,812
5,870
5,907
7,791
13,026
10,655
10,772
13,361
12,811
11,561
13,363
11,788
2,877
3,372
2,465
3,663
3,360
3,506
3,189
3,113
3,032
4,460
4,309
35
27
20
22
21
14
6
4
17
14
7
237
152
147
205
162
105
102
65
55
69
73
206
221
347
397
253
236
278
264
250
329
237
4,598
4,764
6,934
9,700
6,080
5,660
6,438
5,801
5,180
5,615
4,776
550
505
565
668
535
. 451
446
388
310
338
210
25
23
54
86
21
29
13
38
23
15
5
7
39
7
4
2
3
3
1
29,795
26,522
45,849
67,485
40,925
41,511
49,699
45,465
37,380
42,344
35,304
Note.—The form for Table III. (page 45) was prescribed by the Local Government Board
in order that a "tabular statement of infectious sickness should be made in all districts on a
uniform plan."