View report page

48
sub let and occupied by two or more families, and no facilities exist
for nursing and the isolation of the patients at their houses.
Moreover, in the southern part of the district where most of the
houses are occupied by more than one family, a large number of the
households have one or more of their msmbers occupied in the
laundry industry, and the importance of the immediate removal of
any infectious cases is obvious. It must therefore be assumed that
a high percentage of the cases notified will continne to be removed
to the Hospital.
There is one important paint of difference bjtween Scarlet
Fever and Typhoid Fever. Scarlet Fever is essentially a disease of
Childhood, and a large proportion of the cases are of children under
ten years of age. Less danger, therefore, results if the number of
beds in a Ward slightly exceeds that allowed on the 2,000 cubic feet
basis, so long as this overcrowding is only of a temporary character.
Having taken all the factors into consideration, we are of
opinion that an accommodation of 50 beds for Scat let Fever would
suffice the district for at least ten years, and we propose for the
consideration of the Committee the following arrangement of the
accommodation:—
1. Two rooms in the observation block for Typhoid patients.
2. The third room for observation purpose. 2 beds.
3. Present Pavilion A for Diphtheria. 14 beds.
4. Present Pavillion B for convalescent Scarlet Fever and
discharge purposes. 14 beds.
5. An additional Pavilion of 36 beds for Scarlet Fever
cases.
2—Administration Block.
Before considering the kind of building which we suggest for
this additional pavilion, it may be well to discuss the accommodation
for the staff.
For a Hospital of 70 beds, accommodation should be provided
for a nursing staff of 15 and a domestic staff of 10. At the present
time the administrative block is barely sufficient for the present
pursing and domestic staff,