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of the Managers' Hospitals provided the Managers can afford accommodation
on one of their farms near to London for the required number of horses, a
number which will be governed by the amount of serum required, probably
not less than four or more than ten ; will supply the cost of stabling, grooming,
and keep, during the time that serum is being supplied by the Committee
for the use of the Board; and will pay the fares and incidental laboratory
expenses. These fares would merely be those of one or two assistants to and
from the farm on three or four days a week, whilst the laboratory expenses
would amount to a very small sum.
We have carefully considered the proposals of the Royal Oollegess of
Physicians and Surgeons, and having regard to all the circumstances and to
the fact that the Managers have agreed, as a tentative and temporary arrangement,
to accept their offer to carry out the bacteriological investigation of
cases of diphtheria admitted to the Board's Hospitals for a period of six
months, we unanimously advise—
(a) That the Managers be recommended to accept the offer of the
Royal Colleges of Physicians and Surgeons to supply anti-toxin on the terms
and conditions set forth in their letter of the 16th instant.
(Signed) AUGUSTUS C. SCOYELL,
Chairman of the Sub-Committee.
5.—Whooping Cough (decennial average, 23'9). The
fatality, in its 29 deaths of young children, was excessive.
6.—Fever (decennial average, 9'3) was also slightly above
the average—the 9 deaths from it include one from malarial
fever contracted abroad. Again no case of typhus was
reported.
Enteric fever was slightly less prevalent in London
during the year than in 1893.
The deaths from fever in all London were 626, including
5 from typhus, this mortality was 0'03 below the decennial
average.
The Statistical Committee of the Metropolitan Asylums
Board report that during the year 1894—
" 17,759 fever, diphtheria, and small-pox patients were
removed from their homes to the various hospitals of the