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(2) As the windows of the wards are generally closed during the dressing of the patient's
wounds it is desirable that there should be more permanent ventilation to the wards especially those
facing Queen Square. This could be done by ventilators in the chimney breasts and in the inner
walls of the wards opposite the windows facing Queen Square.
(3) The staff should thoroughly wash their hands before feeding.
(4) When one of the staff is attacked (a) all food utensils used by the patient to be thoroughly
scalded and washed separately. (b) All pillow cases, sheets, soiled linen, &c„ used by the patient to be
put into a disinfectant solution or boiled before being sent to the laundry.
PLAGUE OR CHOLERA.
No notification of Plague or Cholera was received. If any case of Plague, Cholera or Small-
Pox occurs on a vessel, the Port Medical Officer of Health on its arrival, sends the names of
passengers and the addresses to which they are proceeding, to the respective Medical Officers of
Health. Only four names and addresses of passengers respecting Plague, were received by me last
year, and the usual enquiries were made.

PHTHISIS OR CONSUMPTION.
The number of deaths from Phthisis during the year 1903, was 170, equivalent to a death-rate
of 2.94 per 1,000. Of these, 96 belonged to Hloomsbury and St. Giles, or a death-rate of 3.13 per
1,000, and 74 to the Holborn District or a death-rate of 2.73 per 1,000.
The corresponding rate for London was 1.55.
The number of deaths from other tubercular diseases was 40. Of these, 10 belonged to
Bloomsbury and St. Giles, and the rest to the Holborn Sub-district.