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gullies, with the result, that a large number were recommended to be
repaired and re-constructed. Pending the carrying out of this work,
I advised during the continuance of the drought that those gullies
which were not properly trapped, or which became dry through any
cause, should be flushed with a strong solution of disinfectant. I also
ordered to be flushed with the same solution the closet pans and
drains of the houses in the Bow Common Lane districts, whence a
large number of diphtheria and typhoid fever notifications had been
received. 1 recommended the men engaged in the work of flushing
to instruct the inhabitants that they must constantly flush the drains.
I may add that I consider two gallons of water to be insufficient to
flush a closet and drain, the quantity ought to be at the least three
gallons. I trust the Water Company will be made ,to allow this
amount. About the time that a large number of cases were reported
from the above-mentioned district the sewer was being cleansed in
Whitethorn Street, near a public school. The Sanitary Department
had to contend with the same difficulty with the typhoid fever and
diphtheria cases as with those of scarlet fever, viz.—want of accommodation
at the Asylums' Board Hospitals. Many typhoid fever
patients were admitted into the Metropolitan General Hospitals.
The Asylums' Board upon receipt of our notice of removal would
communicate with these institutions; 11 cases of typhoid fever were
treated at Guy's Hospital, io over and one under five years. Seven
of these patients were admitted through the Asylums Board and
four were brought to the hospital by friends. Five cases of typhoid
fever were admitted into St. Bartholomew's Hospital, all over five
years of age. I have not been able to obtain the number of persons
suffering with notifiable diseases admitted into the other hospitals,
but a large number were treated in the London Hospital.
A record is now being kept of all infectious cases admitted into the
General Metropolitan Hospitals.
TYPHUS FEVER.
One case in Bromley of typhus lever in a child was notified, and