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64
gating together a largo number of persons when suffering from
.such an offensive disease as Small pox. Ii would be far better to
provide separate accommodation in each parish for the proper
isolation of all the cases of infectious disease occurring- among1 the
parishioners.
by the courtesy of the Medical officer of I lealth for Kensington,
the following plan which is published in the reporl direction of the
Kensington Vestry is appended. It shows the situation of the
hospital with its isolation, also its relation with the three parishes,
namely, Kensington, Chelsea anil Fullvun. Besides which there
is an accurate plan of the hospital itself.
SCARLET FEVER
During last year scarlet fever was very prevalent in London.
In this district 180 cases were reported, against 24S cases reported
during the previous year. Of course these numbers only
represent a small proportion of the cases which undoubtedly
occurred, as it was only in exceptional instances that cases were
reported to your officers. Of the 180 cases reported last year
there were ()J in the parish of Hammersmith, and N8 in the parish
of Fulham. Information of 92 cases was obtained in the death
returns, which was in most instances the first information obtained ;
14 cases were removed by your Hoard, 13 to Islington Fever
I lospital, and 1 to the Metropolitan Asylum Hospital at Stockwell,
4 eases were removed by the Fulham Hoard of Guardians. The
remaining 70 patients either refused to allow removal, or their
cases were not reported till after recovery. Of course, in a large
number of instances the isolation was not sufficient to effectually
prevent the disease from spreading. Of the 92 deaths which
occurred there were 55 in the parish of Fulham, and 37 in the
parish of 1 lainmersmith. This is most important, for if we take
it as granted that the rate of mortality was about 5 per cent., and
equal in the two parishes, it represents about 1,100 cases occurring
in the parish of Fulham, and about 740 in the parish of
Hammersmith. In -ill ihe 180 cases reported, .1 most careful
system of disinfet lion was carried out by youi Inspectors. Seeing
that we may fairly estimate that there were about 1,840 persons
at tacked by the disease, while there were only 180 cases reported, it
can readily be perceived that the measures adopted by your Hoard
could have very little effect in stopping the progress of the epidemic.
DIPUTHERIA.
Of the 10 deaths from diphtheria, there were 4 in the parish of
Fulham, and 6 in the parish of Hammersmith, against 31
cases registered the previous year, at which there were 3 in
the parish of Fulham, and 18 in the parish of I lainmersmith.
None of those eases were reported till after death. Considering