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31
(37 at Mogden and 8 at Dockwell) for Richmond, and 29 beds
(24 at Mogden and 5 at Dockwell) for Heston and Isleworth.
Cases removed to Hospital. During the year 87 of the 147
cases notified were removed Hospital. Of these 87, 14 entered
from Public Institutions, and 2 entered Metropolitan Asylums
Board's Hospitals, leaving 71 chargeable to the District Rate at
Mogden Hospital. As during the year £1273 were raised for the
upkeep of this Hospital, the cost per patient to this district is
about £18.
In my opinion, having regard to the utility of the Isolation
Hospital, this money is not well spent.
Hospital isolation of a large number of mild cases of Scarlet
Fever is a waste of money. What should be aimed at is the
isolation of serious cases of all infectious diseases, especially
Measles and Whooping Cough, which in epidemic times cause so
many deaths. During last year 25 deaths occurred from Measles
and Whooping Cough, as against 9 from Enteric Fever, Scarlet
Fever and Diphtheria. It is those two former diseases which
specially require skilled nursing, and I am strongly of opinion that
provision should be made for them.
The isolation in Hospital of all cases of infectious diseases
would be impracticable, but a judicious selection of cases urgently
requiring skilled and competent nursing might very well be made
with considerable advantage to the public.
Pulmonary Tuberculosis. 71 cases of this disease were brought
to the notice of the Health Department during the year 1911, as
compared with 20 during the previous year.
This large increase in number is mainly due to the Public
Health (Tuberculosis in Hospitals) Regulations, 1911, which came
into force on 1st May, 1911, and required the Medical Officers of
Hospitals to notify cases of the disease coming under their notice
at the Hospitals to the Medical Officer of Health. 42 such
notifications were received during the year.