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these may be mentioned: (1) Compulsory notification in all
cases of infectious disease; (2) Compulsory removal of the sick
when necessary for isolation; (3) Unity in Hospital Administration,
and representation of the Sanitary Authorities on the
Hospital Board; (4) Separation of Hospital treatment from all
connection with poor-relief; or, in other words, Abolition of
distinction of Pauper and Non-Pauper, in respect of the treatment
of infectious disease; (5) Free Hospital-treatment of infectious
diseases, with pay-wards for those who desire special or separate
accommodation; (ti) Provision of additional Hospitals in
Loudon, with skeleton staff of doctors, nurses, and other officers,
capable of extension so as to cope with all emergencies; (7)
Provision of Hospitals in the country for removable cases of
small-pox, and for the reception of convalescents generally; (8)
Transference of vaccination arrangements to the Hospital, i.e.,
the Sanitary Authority. W ith respect to the greater number of
the above recommendations, Parliamentary sanction has yet to
be obtained to give them legel effect: some of them have long
since been carried out in practice.
PUBLIC HEALTH LEGISLATION.
A "Synopsis of various matters relating to the extension
of the duties and powers of the Managers with respect to
Infectious Disease, which are still under the consideration of the
Local Government Board," was prepared by direction of the
General Purposes Committee of the Asylums Board at the
latter end of the year, and a copy thereof forwarded to the
President of the Local Government Board "for his information
and consideration in connection with any Bill affecting the duties
and responsibilities of the Managers, which it may be his inten
tion to submit to Parliament." This document is of interest,
inter alia, as showing the willingness of the Managers to under-
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