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30
Unity in Hospital administration, and representation of
Sanitary Authorities on the Hospital Board.
Separation of Hospital treatment from all connexion with
poor relief ; or in other words —
Abolition of distinction of pauper and non-pauper in respect
of the treatment of infectious diseases.
Free Hospital treatment of infectious diseases.
Paying Wards for those who desire special or separate
accommodation.
Provision of additional Hospitals in London, with " skeleton
staff of doctors, nurses, and other officers," capable of
extension so as to cope with all emergencies.
Provision of Hospitals in the Country for removable cases
of small-pox, and for reception of all convalescent
hospital-treated cases of infectious diseases.
Transference of vaccination to the Hospital, i.e., Sanitary
Authority.
As respects the greater number of the above recommendations,
Parliamentary sanction has yet to be obtained to give them
effect : the principle of the main recommendation, however,
that which may be said to be at the root of nearly all the others,
viz., compulsory notification, has already, in numerous instances,
found expression in Local Acts, and it has recently been
approved in a Report by a Select Committee of the House of
Commons, (Vide Annual Report for 1881, page 42), which
Report, like the Report of the Commissioners, will assuredly
form the basis of important sanitary legislation at no distant
time.
HOSPITAL ACCOMMODATION FOR THE INFECTIOUS
SICK.
The Royal Commissioners, in their " practical recommendations
" (supra, page 32), express their concurrence with the view
of Sir William Jenner and others, that in years of severe epidemic,
when the urban hospitals are inadequate for the