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26
FULHAM HOSPITAL.
I submit, as usual, some observations on the work done at
Fulham Hospital during the year, compiled from the report of the
Mr. R. D. R. Sweeting, the Resident Medical Superintendent. On
the 1st January, 1880, there were 22 patients remaining in the
hospital; the admissions during the year were 315; the discharges,
237; the deaths, 48, leaving 52 cases under treatment at the end of
the year, of which 37 were convalescents, and 15 acute uncompleted
cases. Of the 315 admissions, 55 were convalescents from other
hospitals, and 260 were acute cases—252 of these being undoubted
cases of small-pox. Three patients walked in. Of the fatal cases 23
were vaccinated, (all imperfectly), and 25 were unvaccinated. The
total mortality was at the rate of 16.21 per cent. Of 257 completed
cases 195 were vaccinated, and 62 were unvaccinated. The
per centage mortality amongst the vaccinated was ll.79, and among
the unvaccinated 40'32. Doubtful cases are reckoned amongst
the "vaccinated;" 25 per cent. of the cases "doubtful as to vaccination"
died, thus swelling the per centage mortality in this class.
Of the contributory parishes, Islington sent in the largest number,
64, Fulham followed with 45 cases; and then Kensington, 38;
St. Pancras, 34; St. George's Union, 21; St. Marylebone, 10;
Chelsea, 9; Wandsworth and Clapham, 8, etc., etc. The largest
number of admissions was in February, (61), the smallest number
in October, (4), and November, (5). By way of comparison it
may be stated that the number of patients sent in during the first
half of the year 1881, by the chief contributory parishes was as
follows: Fulham and Hammersmith, 205; Kensington, 193;
Chelsea, 108; Islington, 250; St. Pancras, 80; and Hackney
(to middle of April), 67; Holbom, 143; Strand, 35; St. Giles,
84; and St. George's Union, 86; Bethnal Green, 56; Whitechapel
(to end of April), 12, and Mile-end Old Town, 34;
Paddington, 41, and Marylebone, 89; Wandsworth, 23, and Westminster,
22, etc.
It should be mentioned that for a short time the hospital was
restricted to the use of patients from the borough of Chelsea, on
the ground that the accommodation available was not more than
sufficient for the needs of the constituent parishes, viz., Fulham and
Hammersmith, Kensington and Chelsea. The restriction had the