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61
The Committee had under consideration a report of the Medical
Officer of Health for Woolwich on the subject of "Return Cases"
and Fever Hospitals as a source of Infection, and the recommendations
contained therein, which had been approved by the Woolwich
Borough Council and submitted to the Metropolitan Asylums
Board, such recommendations being as follow :—
(1) That, as far as possible, means should be taken by
which Fever Hospitals could be correlated to special
Boroughs (e.g., by the allotment of special wards to each
Borough.)
(2) That each Medical Officer of Health should receive a
weekly statement as to the patients of his Borough,
shewing—
(a) Any alteration in diagnosis.
(b) Any new infectious disease supervening during the
the week.
(3) That on discharge a full Statement of the condition of
the patient should be sent to the Medical Officer of Health.
(4) That all scarlet fever patients should be examined
bacteriologioally for diphtheria on admission and on discharge,
and those giving a positive result should be isolated
in a special ward.
(5) That no diphtheria patients should be discharged
until two successive bacteriological examinations of the
throat and nostrils have shown the absence of diphtheria
bacilli.
(6) That more isolation wards should be provided by
reducing the period of detention in scarlet fever, where
such detention is on account of desquamation only.
(7) That the hot bath immediately before discharge should
be discontinued.