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121
The objects sought to be attained in respect of (1), (2),
(3), (4), and (6) were secured by the passing of the Infectious
Disease (Notification) Act, 1889, and the Poor Law Act, 1889,
which were repealed by the Public Health (London) Act, 1891,
in which their provisions are re-enacted. At page 119 I have
referred to the question of (5) Compulsory Removal of the
Sick, which still awaits settlement. With reference to (7), I
have stated, in former Reports, the grounds of my objection
to the contract system, which happily is no longer in
question, free admission to the hospitals having now been
secured by the Public Health Act.
HOSPITALS COMMISSION.
In 1881, a Royal Commission was appointed to consider
the question of Hospital Accommodation for Infectious Diseases,
before which I gave evidence, a summary of which will
be found in my Annual Report for 1881 (pages 50—60 inclusive).
In my Annual Report for 1882-83 (pages 28—39 inclusive),
I dealt with the report of the Commission, reproducing
their "Practical Recommendations," which were in accord
with the principles, in regard to public health administration in
the Metropolis, for which I had long contended. Amongst
other principles, which first found expression in these Reports,
I may refer to (1), Compulsory Notification of all cases of infectious
disease; (2), Compulsory Removal of the sick to hospital
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 the
distinction between Pauper and Non-pauper in respect to the
treatment of infectious diseases; (5), Free hospital treatment
of infectious diseases; (6), Provision of additional hospitals in
London, with skeleton staff of doctors, nurses, and other
officers, capable of extension, as necessary, to cope with emergencies;
(7), Provision of hospitals in the country for removable
cases of small-pox, and for the reception of