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Excluding the cases of erysipelas, for which no provision is
made in the Hospitals of the Metropolitan Asylums Board,
all but four of the cases were treated at these Hospitals, or at
the London Fever Hospital, and two of these were diphtheria
cases that died before removal could be effected. The latter
half of the year, however, much inconvenience and delay
were caused by the want of accommodation at these
Hospitals.
Most of the cases of infectious disease belonging: to out-
lying Districts that are first taken to Guy's Hospital, and
afterwards removed to the Fever Hospitals, or treated at
Guy's Hospital, are now notified to the Medical Officer of
Health of the districts in which the patients reside.
Only two of the cases of scarlet fever notified from Guy's
Hospital belonged to other districts ; the fever was, however,
contracted in the Hospital. In 1894 seven of the cases of
diphtheria, antl two of the cases of typhoid, were among the
nursing staff of Guy's Hospital; also one case of diphtheria
and two of typhoid, were nurses of Guy's Nursing Institution,
and the diseases were contracted in their duties out of the
District. Last year I called Dr. Perry's attention to this,
and he kindly, at my suggestion, had printed instructions
given to nurses engaged in attendance upon infectious cases.
I am glad to say that in 1895 only one nurse contracted
diphtheria, and not one typhoid fever. There were, however,
three cases of scarlet fever.
The measures taken in dealing with the cases arising in
the District outside Guy's Hospital were as follows:—