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If, therefore, you have any case of suspected Plague
please forward immediately the usual notification, and steps
will be taken for the removal of the patient to hospital for
observation, the result of which you will be duly informed.
I am, Dear Sir,
Yours faithfully,
W. H. Kempster, M.D.,
Medical Officer of Health
On the 9th October, 1900, the London County Council
communicated the arrangements made by them for facilitating
diagnosis in respect of any suspected cases of Plague, and that
the services of Mr. James Cantlie, M.B., F.R.C.S., formerly
Medical Officer in one of the Plague Hospitals of Hong Kong,
had been employed for that purpose, and requesting that any
suspected cases of the disease might be immediately brought to
the notice of the Council's Medical Officer of Health. The
London County Council further stated that they were prepared
to provide refuges for the accommodation of persons who have
been in contact or living with persons attacked by Plague.
On the same date the Local Government Board issued
memoranda prepared by their Medical Officer, containing suggestions
likely to be of assistance to Sanitary Authorities and
their officers in guarding against the Plague or dealing with
any cases which may occur, and also containing details of the
arrangements under which Medical Officers of Health might
send to the offices of the Local Government Board for bacteriological
examination material from suspected cases. The memoranda
in question were classified under two headings: (1)
Administrative Considerations ; (2) Symptoms of Plague ; and
the more important points therein are here summarised :—