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"I have, therefore, to draw your attention to the following points:—
"I. In the event of any person on board suffering from any symptom
suspicious of Cholera, a wireless message should be sent to Sheerness,
which would be communicated to the Medical Officer of this Authority
stationed there.
"II. The vessel may proceed to Queenborough Pier, but no person
should be allowed to land unless permitted to do so by the Medical
Officer.
"III. All persons intending to land in this country will be
required to furnish their names, intended places of destination, and
intended addresses at such places. These addresses will have to be
satisfactory to the Medical Officer. Hotels as addresses will not be
considered as satisfactory unless there be some evidence that the person
is expected to arrive at that hotel, and has engaged rooms beforehand.
"IV. All persons intending to land will be medically inspected. It
is suggested that passengers should be collected together and allowed to
pass singly in a good light under the inspection of the Medical Officer.
Any detailed examination will be done privately in a cabin.
"V. A notice is enclosed, of which a supply will be forwarded,
printed in English, German and French. It is suggested that one of
these should be placed in each cabin, and one or more in places frequented
by the passengers.
"VI. Drinking water should be taken on board in England.
"Your obedient Servant,
"HERBERT WILLIAMS,
"Medical Officer of Health, Port of London."
Passenger vessels arrived daily from Rotterdam, and twice weekly from
St. Petersburg. All persons on board were medically inspected at Gravesend,
the names and addresses of passengers taken, and the same notified to the
Medical Officers of the districts to which they were proceeding. The master
of each vessel was served with a notice that no member of his crew was
to leave the vessel without permission in writing—these vessels were visited
daily by a Sanitary Inspector, and if any seaman wished to leave the vessel,
he was permitted to do so on furnishing his address and destination to the
Inspector.
The Local Government Board also issued the following circular:—
"Local Government Board,
"Whitehall, S.W.,
"2nd September, 1909.
"Sir,
"I am directed by the Local Government Board to state that Cholera,
which has been, and still is, epidemic in Northern Russia, particularly