London's Pulse: Medical Officer of Health reports 1848-1972

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Edmonton 1914

[Report of the Medical Officer of Health for Edmonton]

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37
any such case is or is not maintainable at the expense of the
Guardians and that if the said Sanitary Authorities undertake to
deal only with enteric fever, diphtheria, scarlet fever and smallpox,
then the sum to be paid by the Guardians should be 2d. per
head of the population instead of 3d."
At the Sanitary Committee of December 2nd our Clerk presented a report
on the two conferences. At this meeting the Committee recommended that the
Guardians be informed that the Council is prepared to consider a draft form of
agreement for the isolation of cases of scarlet fever, diphtheria, enteric fever and
small-pox arising outside the Guardians' premises on a basis of 2d. per head of
the population of the District and with reference to the words " dealing with "
in the resolution B, as put forward by Mr. Shelton, our Clerk was instructed
to obtain from the Clerk to the Guardians his definition of these words.
On the 4th December Mr. Shelton replied :—
" I cannot say what the words " dealing with" are intended to mean,
but from the Guardians point of view it ought to include proper
accommodation, maintenance, clothing and medical treatment,
and relieve the Guardians from all expenses in connection with
the patient."
The Guardians at their last meeting for the year passed the following
resolution
C. " That the Guardians do agree to pay the several Sanitary Authorities
an annual sum of 2d. per head of the population according to the
last census for undertaking the treatment of all cases of infectious
disease arising within their respective districts without enquiring
as to whether any such cases are or are not pauper cases, or to
pay one penny per head on the same basis for the treatment of all
cases suffering from enteric fever, diphtheria, scarlet fever and
small-pox."
So the year ended without a new agreement being signed.
N.B.—My readers will observe the subtle variations B and C of resolution
A, passed at the conference of Sanitary Authorities with the Guardians on
November 24th, I914.