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40
the cases of diseases wrongly diagnosed as fevers admissible
to the Managers' Hospitals, the largest numbers were as
usual of measles, pneumonia and tonsillitis." The Committee
evidently anticipates that these numbers, 181 in 1889, will be
reduced in future years, through the facilities about to be afforded
to medical students for clinical observation, adverted to at
page 54. During the last four years, the total number of cases
of small-pox treated in the Managers Hospitals was only 222, of
whom 33 died. This "unprecedented immunity of London"
from this loathsome disease is attributed, and justly, I believe, to
“rapid and systematic removal from crowded districts of infected
persons, each of whom might have become a centre of contagion."
Since the 1st December, 1870, to the end of 1889, as many as
56,952 cases of small-pox have been admitted into the Managers'
Hospitals, of which 9855 ( =17'20 percent.) proved fatal. The
Canmittee's report, which also deals with the statistics of imbecility,
with ambulance work, and with training ship work, concludes'
with the following Summary of the number of patients, etc., who
have been under the care of the Managers, in the several hospitals,
and asylums, and the training ship "Exmouth," since the opening
of the first institution (the Temporary Hospital for Relapsing"
Fever at Hampstead) in 1870.

In appendices, the Committee gives the annual reports of theseveral
medical superintendents of the hospitals and other
institutions. Taken as a whole, no report issued by the Managers