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Sanitary Authority. No friction is being experienced, and he
is of opinion that a considerable amount of good is being effected.
In the City of Bristol, in addition to the ordinary routine
precautions, voluntary notification, disinfection, literature, etc.,
as adopted in most of the large cities and towns of the Kingdom,
the City Council, on the recommendation of their Health Committee
in 1905, contributed a sum of £5,000 towards the acquirement
of 20 beds in the Winsley Sanatorium, and they contribute
a further sum of ,300 annually towards the maintenance of those
beds, which are reserved at their disposal. The first Bristol case
was admitted on February 27th, 1905. During 1907, 68 cases
were admitted out of 172 applicants, with the following results:
53 cases have been discharged much improved, and in 11 others
some degree of improvement was recorded. In the remaining
4 no improvement was recorded on discharge. In selecting cases
for admission to the Sanatorium, a Medical Board, consisting of
5 medical men of the City, has been formed, by whom all applicants
are examined.
In Manchester, in addition to voluntary notification, disinfection,
etc., hospital accommodation is provided by two Institutions.
In one case—the Bowdon Hospital for Consumption—only
cases in the early stage are received. This hospital is maintained
by voluntary subscriptions. The additional Sanatorium erected by
the munificence of a citizen at Delamere Forest has accommodation
for 100 patients, and the Manchester Corporation have 20 beds
placed at their disposal. In carrying out the system of voluntary
notification in operation in Manchester, the Corporation have
appointed two medical assistants to the Medical Officer of Health,
with the object of thoroughly supervising the work. As a result
of the action of the Corporation in the five years 1900-1905, 10,074
cases have been notified, and 17,025 infected houses have been
disinfected.
In Birmingham the homes of patients are visited by special
Inspectors, and a special Sanatorium has been provided. The
Corporation have decided to apply, in their next Bill, for compulsory
powers to deal with the disease.