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In the first quarter of the year there were 10-3 notices;
in the second, 152; in the third, 272; and in the fourth,
341. Certificates which are not strictly and literally expressed
in the terms of the Act are returned by the Metropolitan
Asylums Board. In cases where the medical superintendent
of the hospital to which a patient has been removed is of
opinion that the patient is not suffering from the disease
specified, or from any other notifiable disease, he sends me
a certificate to that effect. The medical officer at a hospital
has. not only had an experience beyond that which falls to
the lot of most medical men, but he has the opportunity of
watching the case for several days before forming an
opinion, while the medical attendant is often required to.
decide at a moment's notice, under circumstances which are
unfavourable for a careful examination of the patient, and
without the delay which he would consider necessary for
further observation if the question of prompt removal did
not arise as a matter of urgency.
The number of houses in which the existence of a dangerous
infections disease was reported was 889, all of which
were inspected by the sanitary staff. All the cases which
admitted of removal to hospitals were removed as
speedily as possible. The premises were disinfected either
by the officers of the Vestry or to the satisfaction of the
medical attendant. Infected articles of bedding and
clothing were purified in the disinfecting chamber provided
by the Vestry. The number of such articles which.