METROPOLITAN HOSPITAL SUNDAY FUND.-ASYLUM REPORTS. 103 Lucas to be re-elected and Mr. Harrison Cripps to be elected METROPOLITAN HOSPITAL SUNDAY members of the Council. FUND. In all 981 Fellows voted, eight only voting in person, but 11 voting papers had to be rejected, nine arriving after the election had commenced and invalid. THE following are some of the principal amounts, addi- two being tional to those already announced in THE LANCET, received Mr. H. J. Price and Mr. W. Haig Brodie acted as scrutineers. at the Mansion House or notified directly to us as having been collected on behalf of the Metropolitan Hospital Sunday Fund up to Monday, when the sum paid in was about ASYLUM REPORTS. £34,000 :- £ s. d. Christ , Lancaster-gate ...... , .., ... 1001 0 0 Barnieood House the Insane St. Pont-street 241 00 Ifospital for (Annual, Report- Columba, ...... the Year number of in Chapel, Buckingham Gate ...... 209 0 0 ,for 1908).-The average patients St. Stephen’s, South Dulwich ...... 170 00 residence for the year 1908 was 152. 31 patients were St. Mark’s, North ...... 121 0 0 Audley-street admitted. 25 patients were discharged, 11 of them having Union Chapel, Islington ...... 118 00 recovered. The rate on the total number under Brompton Parish Church ...... 111 0 0 recovery St. Andrew’s, Leytonatone ...... 110 00 treatment was 6’4 per cent. The deaths were seven in St. Peter’s, 104 0 0 Bayswater...... , .., number, the rate on the average number resident being St. Paul’s, Beckenham ...... 102 00 St. Leonard’s and All Saints’, Streatham ... J..... 101 00 4 - 60 per cent. St. Margaret’s, Westminster ...... 85 00 Royal Asylum for, the Year- Beckenham Parish Glasgow (Annual Report Church ...... 84 0 0 this the number resident was 442. Christ Church, Crouch End ...... 64 00 1908).-At asylum average Lewisham Parish Church ...... 60 00 The admissions numbered 127 and were about the average Stamford Hill ...... 58 00 for the last five 45 recovered, a per- Christ years. patients being Church, Hampstead...... 55 00 of 36 on the admissions. The of deaths- St. Luke’s, Redcliffe-square ...... ’" ...... 54 00 centage percentage Reigate Parish Church ...... 50 0 0 on the average number resident was 5 6, being a very low Dutch Austin Friars Church, ...... 50 0 0 rate. Dr. L. R. Oswald, the medical superintendent, reports- Clapham Parish Church 48 ...... 0 0 that fewer drugs are now in the Hornchurch Parish Church and Mission...... 42 00 sleep-producing given St. Hill than ever before. The best calmative and restora- John’s, Notting ...... ’" ... 42 0 0 hospital St. Mark’s, Surbiton ...... ’" 41 00 tive is found to be fresh air, and there has been an extension,. St. Alban’s, Holborn ...... 39 00 of the tent treatment referred to in the of last St. Augustine’s, Honor Oak Park report year...... 38 00 Aberdeen the Year St. Paul’s, Camden-square ...... 38 00 -Kingseat Asylecna, (Annual Report for St. Saviour’s, Paddington ...... 37 00 1908).-The admissions during this year numbered 103. The St. Brixton Matthew’s, ...... 36 0 0 the year numbered 66, and the percentage- Trinity Presbyterian Church, 34 00 discharges during Bromley ...... of calculated on the was 40 7. The- St. Saviour’s, Brixton ...... 34 00 recoveries, admissions, St, George’s, Campden Hill ...... 33 00 deaths numbered 39, this giving a death-rate of 7’ 5 per St. Andrew’s, Stockwell ...... 32 0 0 cent. on the total under treatment. This was St. asylum John’s, Upper Holloway...... 31 00 modelled the of Alt Scherbitz and consists of All Saints’, Blackheath ...... 31 00 upon asylum Church villas or In model the of Streatham Hill Congregational ...... 30 00 many pavilions. the gardens these Emmanuel Church, Hampstea.d ...... 29 0 0 buildings are enclosed within railings or even in some cases St. Mary’s, Acton ...... , ", ... 29 0 0 within walls. At such defences to be. St. James’s, Norlands ....,...... ", ", ,., 29 00 high Kingseat appear Wilmington Parish Church ...... 29 00 found unnecessary, and the idea of not being shut in is said St Mary’s, Putney ...... 29 00 in itself to have a effect the Stoke restraining upon patients. St. Mary’s, Newington ...... 28 00 District Board the Year- ...... 28 00 Stirling Lunacy (Repurt for total number admissions- Ewell Parish Church ...... , ", ", 28 0 0 ending May 14th, 1908).-The of Chipping Barnet Parish Church ...... 28 00 was 233, which is exactly the same as the number of St. Clement Danes ...... 28 00 admissions for a similar period ten years ago. During these St. Mary Magdalene, Peckham ...... 28 00 ten the number of admissions was 252. It All Saints’ and Emmanuel, Leyton ...... 27 00 years average Willesden Presbyterian Church ...... 27 00 reached as high a figure as 274 in the year 1903 and as low St. Dulwich ...... 27 00 Barnabas, as 241 in the 1906. It would that the number All Saints’, Friern Barnet ...... ", ,., 27 00 year appear of from who are sent to St. Andrew’s, Streatham ...... 27 00 persons suffering insanity annually St. Barnabas, Clapham ...... 27 00 the asylum is certainly not rising and is probably falling. Church ...... 26 00 Gordon-square On the other a feature is the Christ Church, East Greenwich ...... 26 0 0 hand, disquieting continually number of deaths from The Christ Church, Woburn-square ...... 26 0 0 increasing general paralysis. Effra-road Unitarian Church, Brixton...... 25 00 number of deaths recorded is now four times greater than the Park Crouch End 0 Chapel, ...... 25 0 of 16 The of recoveries Christ Church, Ealing...... 25 00 average years ago. percentage calculated on the number of admissions was 40 7 Hendon Parish Church ...... 25 00 per cent. ;y Mr. H. Dent Brocklehurst ...... 1...... 25 00 the percentage of deaths was 8 1 on the total number under New Court ...... 25 0 0 Church, Tollington-park treatment. Dr. G. M. Robertson, in his last report as medical St. Clement’s, Hill ...... 25 00 Notting of this out his St. George’s, Tufnell-park ...... 25 0 C superintendent asylum, points how, during St. Anne’s, Bermondsey ...... 25 0 C administration, he has regarded every feature of asylum administration which was peculiar to asylums and which did not exist in hospitals as suspect. The vast majority of these features were traditions handed down from the ROYAL COLLEGE OF OF SURGEONS prison prototype. Many had reasons for their existence, but, ENGLAND. when these were put to an experimental test it was found that as often as not they could now be ignored with perfect In all cases, if they could not be abolished, ELECTION OF MEMBERS OF COUNCIL. safety. they were replaced by others of a hospital character, or at least as ON July lst a meeting of Fellows of the Royal College of, near a hospital character as was possible in the circum- Surgeons was held at the College for the election of three stances. As a result the gain all round by the introduction members of Council, with the following result :- of the hospital atmosphere has been incalculable, and we must Dr. Robertson the of Votes. Plumpers., heartily congratulate upon application a which we wish could be Sir W. WATSON CHEYNE ...... 420 ...... 8 system universally adopted. Kent County Lunatic Asylums (Annual Report for Mr. W. HARRISON CRIPPS ... 385 ...... 46 the Year 1908).-To the Barming Heath Asylum 431 Mr. CLEMENT LUCAS ...... 356 ...... 70 patients were admitted. 141 patients were discharged

Mr. BLAND-SUTTON ...... 333 39 recovered, yielding a recovery rate of 32-7 per cent. on the Mr. JEssOP ...... 328 ...... 35 total admissions. There were 176 deaths, being 11’1 1 per cent. on the number resident. The medical Mr. BALLANCE...... 261 ...... 23 average super- intendent, Dr. H. Wolseley-Lewis, accentuates the findings of Mr. MAYO ROBSON...... 205 ...... 5 the Royal Commission on the Feeble-Minded with illustra- Heath The PRESIDENT declared Sir W. Watson Cheyne and Mr.. tions from the asylum. Of the admissions to Barming