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66
Some half-dozen of those recorded as at work are employed
at the Sanatorium in various capjacities, receiving'
board and a Small wage. Of the 27 patients not accounted
for, the majority have emigrated and are believed to be
well and at work in Canada, Australia, South Africa, &c.
The above table accounts for all patients who left the
Sanatorium up to December 31st, 1910. Out of 198 who
have left over one year, 74 are now well and at work, 19
are unwell, 78 have died, and 27 have been lost sight of.
82. Prolonged experience only confirms my confidence in
the benefit of sanatorium treatment. Many cases have now
been in regular work for five, six, and even seven years,
after spending a few months at Peppard: several mothers of
families have continued for similar periods to look after their
families, and perform their household duties.
The fact that so many relapse as the ye§.rs go on only
shows that sanatorium treatment is required earlier, and
needs in some cases to be repeated and prolonged, and
that more healthy occupations and conditions of life axe
required than commonly obtain. Suitable work, a guaranteed
income, and the provision of a shelter, would probably improve
the sanatorium results 50 per cent.
The Chart on the opposite page shows the decline of
Phthisis in Woolwich compared with England, London,
Lewisham, and Greenwich, and the average temperature of
the summer quarter in each year since 1891. It is seen
that since 1900 the decline has been very great in London
and in Woolwich, but in England, and Greenwich, the
death-rate has only fallen to a small extent. It is noteworthy
that in the years 1896-1900, which were noted for their