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35
During the year the London Country Council has issued
a Bye-law directed against the dangerous and disgusting habit
of spitting. The Bye-law is undoubtedly doing good, although
I have not yet heard of an instance in which a breach of the
Bye-law has been followed by the conviction and fine of the
offender; but to what an extent this promiscuous spitting is
a habit, and nothing else, is sufficiently evidenced by one who.
at the present time rides in our busses, tramcars and railway
carriages, and compares the state of the floors with that which
obtained only a lew months back.
London and its suburbs is at the present time the worst
provided with Sanitoria of all large towns in the kingdom,
whereas at the same time the demands for treatment of
Consumption in these Institutions are overwhelming. The
treatment of early cases and the isolation of dangerous cases
necessarily implies the provision of some accommodation for
these patients. The existing Consumption Hospitals and the
Poor Law Infirmaries do not provide nearly enough of such
accommodation, even if they limited admission to patients
from London and the suburbs. It is at present by no means
an unusual thing for cases of Consumption in Finchlev which
urgently require isolation and sanitorium treatment, to have
to wait many months before they are able to obtain admission
into one of these Institutions. Sanitoria for the poorer class
of the community within easy reach of London hardly
exist, and more accommodation is urgentlv needed,
both for the treatment of early cases and for the
isolation of advanced cases. During the vear a scheme
was launched having for its object the provision of
a Sanatorium for the County of Middlesex. The scheme has
been well thought out. and it should appeal successfully for