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46
The above Report, though exceedingly interesting from the
point of view of showing the nature of Measles and its method
of spreading, is serious reading, and calls for suggestions which,
when carried out, will help to prevent a repetition of such a
serious condition of affairs as is disclosed in the Report.
My suggestions are as follow:—
1. Re-constructing of the drainage systems.
2. Re-modelling of the sanitary appliances.
3. Supervising periodically by a Sanitary Expert of such
drainage systems and sanitary appliances, when reconstructed
and re-modelled.
4. Reserving the Probation Wards strictly for the uses for
which they were originally intended, and preventing the
children whilst in such Wards from mixing, in any way,
with the children from the Main Building (or other
children), either at School or elsewhere, e.g., Church,
Sunday School, Playground, &c.
5. Avoiding the sending of young children (at least, those
under three years of age) to Norwood to the Lambeth
Schools under existing arrangements (i.e., without being
kept absolutely, and at all times, distinct and separate
from all other children), as Measles and other diseases
are specially fatal to children of such tender years.
6. Preventing any communication between (a) the Isolation
Hospital and the Infirmary; (b) the Main Buildings
(children and officials) on the one band, and the Receiving
Ward, Probation Wards, the Infirmary, or the
Isolation Hospital (children, patients, or officers) on the
other hand—keeping the separate buildings carefully
fenced off one from the other. In this connection, no
children should be allowed to pass from the Main
Buildings or from the Probation Wards to the Infirmary
even for the purpose of having ointment, dressings, &c.,
applied.
7. Advising the Sanitary Authority in future of any
break of Measles (or other non-notifiable infectious
disease) amongst the inmates of the Lambeth Schools, .
so that measures may at once be taken to prevent the
disease spreading from such Schools into the Lambeth
or neighbouring Boroughs, by closing tne Schools.
8. Supplying proper warming appliances for the Main
Buildings, Receiving Ward and Probation Wards.
9. Supplying an efficient disinfecting machine.