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111
cases were treated at the residences of the patients. Eighty-one
cases were removed by your Board and 10 cases were removed by
the Metropolitan Asylums Board. One case was removed by the St
George's Hospital Authorities. The patient had applied at
the hospital for medical advice. Being found that he was
suffering from smallpox he was detained until removed to the
Smallpox Hospital at Fulham. No case was removed by the
Fulham Board of Guardians. In two cases the patients walked
to the hospital and were admitted. Five cases were treated at
the Metropolitan Asylums Board's South Western District Hospital
at Stockwell. Eighty-eight cases were isolated at the Metropolitan
Asylums Board's Western Hospital at Fulham. One
case was treated at the Highgate Smallpox Hospital. Of the
14 patients treated at home, one was treated by myself on behalf
of your Board. At the time when the case was reported the
patient was found to be in the third stage of labour, and consequently
could not be removed. The 13 other cases were treated
at the homes of the patients by private medical practitioners.
The percentage of the cases reported that were removed to hospitals
was 87.0, as compared with a percentage of 847 in the year
1881,when the last epidemic of smallpox occurred in this District.
It is probable that the proportion of cases that were concealed
has greatly decreased, for, as I have previously stated, no death
from smallpox was registered as occurring in a private dwellinghouse
in this District during last year.
Of the 43 cases reported in the Parish of Hammersmith, 39
were removed to hospitals and properly isolated, and 4 were
treated at home. Of the 65 in the Parish of Fulham, 55 were
treated at hospitals and properly isolated, and 10 were treated at
home. Thus of the reported cases in Hammersmith 907 per
cent. were treated at hospitals, while of the cases reported in
Fulham 84.6 were treated at hospitals. It is probable that the
proportion of concealed cases was greater in the Parish of Fulham
than in the Parish of Hammersmith. The greater proportion of
cases that were concealed in the Parish of Fulham no doubt was
to a large extent the cause of the difference in the number of cases
that occurred in the Parish of Fulham as compared with the Parish
of Hammersmith. Of the 14 cases that were treated at home in
one case the patient was too ill to be removed. In 10 cases no
information was received until after the recovery of the patients.
In 3 cases an offer made to the relatives of the patients on behalf
of your Board to remove the patients to an hospital was refused.
The accommodation in these cases was not sufficient for the
effectual isolation of the patients, but was not so bad, as to come