The increase in total numbers resident at the end of the year is a little more than that of the preceding two years, but it does not come quite up to the average increase of the last twenty years. This last number reminds us that, with the Council itself, the Asylum Committee has now attained its majority, and we venture to congratulate the body on being able to look back on its work during that period with much satisfaction. It began with much activity and determination; now it has arrived at marked virility of administration. It may be that here and there are things which do not commend themselves to all, but it cannot be gainsaid that it has aimed, successfully on the whole, at procuring the most beneficent treatment for the unfortunates whose care is confided to it. Referring again to the increase in the insanity of the area, while, as said, the asylum increase is less than the average, the total increase is over 20 per cent more than average, the Metropolitan Board Asylums having nearly three hundred more residents than in the previous year. Notwithstanding this, the Committee adheres to its former opinion that there is no evidence to support the contention that the disease is more prevalent than formerly. The lessened death-rate, which is the certain outcome of improved sanitation and care, with more comprehensive registration being in its opinion the real causes for increase. Still, the yearly increase is again becoming proportionately greater, and the Committee has felt compelled to get on with the eleventh asylum, to be built from the plans of Mr. Clifford Smith.
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