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8
Metropolitan Asylums Board,
Norfolk House,
Norfolk Street, Strand,
16th November, 1898.
Dear Sir,
Supply of Antitoxin.
In my circular letter of the 21st December, 1897, to the
several Medical Officers of Health in the metropolitan district, I
indicated generally the steps which the Managers would be prepared
to take with a view of accelerating the distribution of antitoxin
sel'um in the event of pressure upon the Board's accommodation
again necessitating the temporary refusal of Diphtheria cases. As
there is, unfortunately, reason to anticipate that this emergency
may arise at no distant date, and assuming that you will be willing
to receive and distribute the serum in the manner proposed in my
circular letter, I am directed to inform you that a supply of not
exceeding five doses of 4,000 units each, with directions as to use,
may be obtained from the laboratories at the Examination Hall of
the Royal College of Physicians and the Royal College of Surgeons,
Victoria Embankment, W.C., upon application being made to the
Director, Dr. Sims Woodhead, by messenger bearing your order
upon one of the enclosed forms. Before you give out the serum, I
shall be glad if you will obtain the signature of the medical practitioner
to a certificate similar to that at the foot of the enclosed
printed warrant, a number of copies of which are enclosed. These
warrants must be preserved and forwarded to me at the end of each
quarter, and when your supply of serum or warrants is nearing
exhaustion, application should be made to the laboratories by
messenger for a fresh supply upon the form first mentioned.
I am advised that the serum should not be used after it has
been kept in stock three months.
It must be distinctly understood that the stock forwarded to
you is to be used only for patients who are awaiting admission into
the Board's hospitals.
As it is still the Managers' intention to- forward a warrant to
the medical practitioner concerned immediately it is ascertained