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110
of certain Sanitary Authorities (less fortunate than your Vestry) gave
"instructions to the Ambulance Nurses to accept, as a medical
certificate, a copy of the notification certificate, bearing the official
stamp of the Medical Officer of Health, or of the Sanitary Authority,
or in some other way showing, on the face of it, evidence that it had
been issued by the Sanitary Authority."
The Committee observe that the increased work of the
Ambulance Service would necessitate the provision of Ambulance
Stations, additional to the three already existing, "even with no
addition to the number of the Managers' present hospitals. But in
view of the establishment of at least three additional hospitals, for
acute cases, and of a fourth for convalescing cases," the Committee
"think that the time has arrived when it becomes their duty to
prepare, and submit to the Board, proposals for the establishment of
more Ambulance Stations, in contiguity to some of the new hospitals."
Meanwhile, "a temporary shelter for a few ambulances and horses,
has been erected adjoining the new Fountain Hospital at Tooting,
and this has greatly relieved the work of the South-Eastern Station.
The Committee refer to the appointment of a Medical Officer for
the River Service, rendered necessary by the outbreak of small-pox
which commenced at the end of 1892. All patients are now inspected
at the Wharves before embarcation. Persons found to be not
suffering from small-pox are sent home again (after being vaccinated)
and " Shelters" have been provided, at the South Wharf, for the
isolation of doubtful cases pending the clearing up of the diagnosis.
The Committee did, and are doing, good service by disseminating
among Medical Officers of Health, and others, information bearing
on the spread of small-pox, in the form of histories of individual cases,
obtained by the Medical Officer, at the South Wharf, in charge of the
River Service.
Land Service.—The total number of fever patients removed to
the Managers' Hospitals in 1893, was 18,496, as compared with 16,118
in 1892; 7,725 in 1891; and 8,235 in 1890. The removals of
small pox patients numbered 2,389, as compared with 306 in 1892;
64 in 1891; and 26 in 1890. "The average daily removals of fever