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The above table shows that 48 cases were treated at hospitals
and 233 at the residences of the patients. 36 cases occurred in the
parish of Fulham within a half mile radius of the Metropolitan
Asylums Board's Hospital, while 139 cases occurred in the same
parish without a half mile radius of the hospital.
Western District Hospital at Fulham.
The late Fulham Smallpox Hospital has been renamed, and
is now designated the Western District Hospital. At the end of
the year 1881, there were but four cases of smallpox remaining
in the hospital. In the early part of January 1882 two cases were
removed there as smallpox, but were found on admission not to
be suffering from the disease. The Metropolitan Asylums Board
resolved at the end of January last year to admit no more cases
of smallpox, and at the end of the following September they
determined to convert the building into a hospital for ncarlet fever.
On October the 6th, cases of scarlet-fever were admitted and the
districts of Kensington, Fulham, Chelsea, Wandsworth and Clapham,
were allocated to this hospital. It was afterwards resolved
that on and after November the 25th, cases of enteric fever should
be admitted. Altogether last year there were 165 admissions,
149 of which were scarlet fever, 13 enteric fever, and 3 other
diseases. 139 of the scarlet fever cases were acute and 10 were
convalescent cases sent from the Stockwell Fever Hospital. During
last year there were 12 deaths registered. The mortality rate
among the acute cases was 7.9 percent, and there were no deaths
from enteric fever.
Diptheria.
There were 29 cases diptheria reported last year, 14the parish
of Fulham, 15 in the parish of Hammersmith, The number of
deaths registered was 27. These deaths were equivalent to an
annual rate of .2 per 1000 persons living, and werre equal to
1*1 per cent. of the total deaths registered. The deaths from
diptheria in all London were equivalent to an annual rate of .2 per
1000 persons living and were equal to 10 per cent of the total
deaths registered. 27 cases were first reported in the death returns.
One case was too bad to be removed, but the patient afterwards
recovered ; and one case was removed to St. George's Hospital
by the relatives of the patient. In all cases strict and immediate
enquiry was made into the sanitary condition of the houses in
which the patients had resided, and where sanitary defects were
found to exist, the owner or occupier of the premises was required
to remedy them. In every case reported a most careful system of
disinfection was carried out by your Inspector.
Whooping Cough.
There were 208 deaths from whooping cough last year, 127 in
the parish of Fulham and 81 in the parish of Hammersmith, against
39 registered during the previous year of which there were 6 in
the parish of Fulham, and 33 in the parish of Hammersmith.
These 208 deaths last year were equivalent to an annual rate of