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sent, directly the emergency may he expected to arise, from the
laboratory at the Examination Hall of the Royal College of Physicians
and the Royal College of Surgeons, Victoria Embankment, W.C.
Fourteen outworkers were connected with infectious cases notified,
1 in Poplar and 13 in Bromley. The usual notices were served.
Five notices from Port Sanitary Authorities were received as follows:
—Three notices from the Southampton Port Sanitary Authority; one
notifying that a passenger was coming into the Poplar District from a
troopship on board of which a death from plague had occurred, and
two notices giving information that two passengers were coming by
the troopship "Shanghai" from Bombay. One notice was received
from the London Port Sanitary Authority of a passenger by the
"Britannia" from Bombay and another notice was received from the
Bristol Port Sanitary Authority of a seaman coining from a ship on
which there had been a patient with small-pox; but in this instance,
as well as in the case of one of the passengers by the "Shanghai,"
upon calling at the address given the persons did not arrive, although
in the case of the seaman he was known at the premises stated on
the notice.
Several times the Clerk to the Metropolitan Asylums' Board has
been communicated with respecting notifications received from the
institutions in the district. Section 55 (1) (b) of the Public Health
(London) Act, 1891, requires, incase of an inmate of a hospital, the
name of the place from which the patient was brought and the date
of such bringing to be inserted on the notification.
Patients who doubtlessly contract a notifiable disease in a hospital,
even if they have been inmates of such a building for months, must
have their complaint notified to the Medical Officer of the district
from which they were brought. It is clear, from the strict rendering
of the Act that the Medical Officer of Health of a district in which
a hospital is situated may not know of the outbreak of an infectious