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56—Although the expenditure in the first year of existence of any
public institution necessarily includes certain sums for furniture
and other items which are not ordinary outgoings, yet it is satisfactory
to observe that the various averages and even the total
average cost per bed occupied compares favourably with the
averages of similar hospitals in London and elsewhere. It should,
however, be borne in mind that owing to the absence of continuous
pressure upon the beds of a fewer hospital, the expenditure
should be treated upon a five years' average to ensure a result
from which any sound deductions as to comparative cost can be
drawn.
57 — General Statement.—With the exception of a few weeks
during the summer there was a considerable decrease in the
prevalence of infectious disease within the Borough.
58—The following table shows the number of cases notified
and the number of removals.
59—It should, however, be stated that notification was adopted
under the Croydon Act of 188-1, and allows the medical practitioner
to state whether he will undertake the duty of seeing that isolation
and disinfection are properly carried out, or whether he wishes the
Medical Officer of Health to attend to either or both of these
matters. In the former case the Medical Officer takes no action,
and accordingly the per centage of removals, if calculated on the
total notifications, is rather low, but when estimated on the number
referred to the Medical Officer of Health, fairly high.

* Four eases of Enteric Fever arose in and were consequently treated at the
Borough Hospital.