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tank-room (total water storage 20,000 gallons), boiler house,
carpenters' and engineers' shops, etc. The total estimated
cost is £43,025. The hospital, thus enlarged to accommodate
over 400 patients, will apparently be a very complete establishment.
It will provide all necessary accommodation for fever
and diphtheria patients for the parishes, etc., included in the
West District, Kensington in the number, and will, I believe,
be restricted, as it should be, to the use of the said district.
ANNUAL REPORT OF THE MEDICAL
SUPERINTENDENT.
The Annual Report of the Statistical Committee of the
Metropolitan Asylums Board has attached to it a summary
of the work of the Western Hospital, prepared by Dr. Bruce
the Medical Superintendent, from which we learn that the.
total number of cases treated during the year was 1,244, viz:
1,051 cases admitted, and 193 cases already in the hospital at
the beginning of the year. Of this number 979 were discharged,
and 116 died, Leaving 149 under treatment at the close of the
year. Of the cases admitted 781, or nearly 75 per cent of the
total number, suffered from scarlet fever: 41 deaths were due
to this disease, the mortality being at the rate of 5*08 per
cent., as compared with 7*96 in 1890. One hundred and fortyone
cases of diphtheria were admitted, and 54 died : the
death rate was 38*43 per cent., as against 21/87 in 1890. Of
Enteric Fever 62 cases were admitted, and 11 died, giving a
mortality of 18*34 per cent., as compared with 17*60 in the
preceding year. The total mortality from all of the diseases
treated, calculated according to the usual formula, was 10*81
per cent. Convalescent fever cases to the number of 531, or
54 per cent, of the totnl discharges, were transferred to the
Northern Hospital. Five scarlet fever cases presented membrane
on the fauces when admitted, and two during the acute
stages of the disease; but the incidence of Diphtheria during
scarlatinal convalescence was less than in 1890. there having