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tuberculosis. 41
275 per in 1910 to 39.3 in 1912. There has also been an increase (per ) in the deaths
from this disease in lunatic asylums. Pulmonary Tuberculosis.
Numbers of Deaths. Proportions (per ).
1912. 1911. 1910. 1912. 1911. 1910.
Poor Law Institutions 46 56 35 39 3 34 3 27 5
" Homes for the Dying" 5 6 8 43 3 6 6'2
General Hospitals 4 6 7 3 4 3 6 5'5
Special Hospitals 3 5 3 2 5 3 0 2-3
Lunatic Asylums 5 7 3 4 3 4-2 2 3
It has already been pointed out that the proportion of deaths of males in institutions has
increased and that of females decreased. The records (four years only) are too scanty for any
conclusions to be drawn, but it may be observed that, although the total mortality from pulmonary
tuberculosis has fallen from 113 to 0'82 during the four years (a decrease of 27 5
per ), the deaths of males have decreased by 26 per (from 99 in 1907 to 73 in 1912),
and those of females by 29 per (from 62 to 44). The proportion of institutional deaths
among males has increased (from 474 to 63 0 per ), and that of females decreased (from
43'5 to 38'6 per ). There does not appear to be much connection between the Ward mortality
rates and the proportions of deaths in institutions, as will be seen on comparing the statement
below with that of Ward mortalities already given (page 40).
Pulmonary Tuberculosis.
Proportions (per ) of Deaths in Institutions.
Queen's Harrow Maida Lancaster Gate, Hyde
Park. Road. Vale. Westbourne. Church. West. East. Park.
1912 272 464 466 684 677 333 — 627
1911 44.4 37.1 50.0 60.0 696 — 50 545
In previous reports analyses of the duration of institutional treatment have been limited to
the deaths of patients in the Paddington Poor Law Infirmary. On this occasion the analysis
covers all deaths properly belonging to the Borough which occurred during the year both
within and beyond the Borough. The results of the analysis are embodied in Tables II., 111.A,
and III.B in Appendix B, which contain other details which appear to be of some interest.
Table II. is limited to deaths occurring at the patients' homes. Table III.A includes deaths in
the local Infirmary, and Table III.B those in outlying institutions other than lunatic asylums.
Of the 54 deceased persons included in Table II., 30 received in-patient institutional
treatment during their lives, but in 11 instances the total duration of such treatment could not
be obtained. In the remaining 19 instances the length of such treatment varied from one year 9
months as a maximum to one week as a minimum. Analysing the class of institution at which
such treatment was received, it appears that 30 patients were treated in hospitals (both general
and special), 9 in sanatoria, and 11 in Poor Law Infirmaries. Several of the patients were
treated at more than one institution. The dates (years) are indicated in each case, but not
the individual periods of treatment.
Table III.A (deaths in Paddington Infirmary) relates to 44 deaths. In 36 instances the
duration of in-patient institutional treatment was definitely ascertained. The maximum stay
was 4 years and the minimum one day. The analysis of institutions shows that only 2 patients
had treatment in hospital and one each at sanatorium and "Home for Rest" in addition to that
in Poor Law institutions.
In addition to the 14 deaths included in Table III.B there were 5 deaths in lunatic asylums.
As regards 13 of the 14 patients listed, the amount of institutional (in-patient) treatment was
known, and it varied from a maximum of 5 years and 7 months to a minimum of 3 weeks.
The treatment was obtained at all four classes of institutions by 4 patients (each) at hospitals
and sanatoria, and 5 each at " Homes of Rest" and Poor Law institutions. Inquiries were made
with reference to the deaths in lunatic asylums, and it was ascertained that in each instance the
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