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neither suffered from nor been in contact with any sufferer from infectious disease
previous to admission. Also that the wards for the isolation of infectious cases in
the Infirmary at the top of the building were not satisfactory, and that a large
School should be furnished with a separate building for this purpose, more isolated
Also that particular attention should be paid to the health and management of the
laundry, and special care should be exercised in the washing and the movement of
infected fomites generally. In reply, the Governors stated that they had the matter
under consideration. The following week the number of cases had increased to
twenty-two, and I wrote urging the immediate closure of the School. A few days
subsequently, in reply to an enquiry by the Medical Officer of the Institution as to
the method of admitting the patients to the Metropolitan Asylums Board's Hospitals,
I strongly urged no delay in closing the School, and a few days later still I wrote
the Secretary that twenty-nine cases having ocurred it would be my duty to bring
the matter before the Sanitary Authority. The Secretary replied to my letter that
the Board had decided to close the School by the end of the month, and to carry
out the necessary alterations, &c. Forty-two cases of Scarlet Fever ocurred in the
Institution, the last being certified on the 27th October. Some difficulty was
necessarily experienced in closing an Institution, the inmates of which number five
hundred, and all orphans. Making allowance for this difficulty the children were
removed from the building with and reasonable despatch, the School being finally
closed on November 5th.
ISOLATION.

During the same period 6 bodies of persons dying of infectious diseases were
removed from dwelling houses to the Infectious Mortuary.
VACCINATION.
The usual Vaccination returns are as follow.