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16
Mooring Stations designated under Article 10:—
(a) Within the Docks ; (b) Outside the Docks.
These remain the same as reported last year. There has, so far, been no occasion
to make use of them.
Particulars of any standing Exemptions from the Provisions of
Article 14.—None have been made, and the arrangements described in last year's
Report have worked smoothly.
Experience of working Article 16:—
(1) As ships are cleared in the River immediately on arrival, no difficulty has
been experienced in preventing the embarkation or disembarkation of unauthorised
persons.
(2) The arrangements for the surveillance of contacts have been facilitated by
the use of the " Business Reply Card "system, described last year.
What Arrangements have been made for:—
(a) Premises and waiting rooms for medical examination.
(b) Cleansing and disinfection of ships, persons and clothing and other articles.
(c) Premises for the temporary accommodation of persons for whom such
accommodation is required for the purposes of the Regulations.
As regards (a), (b) and (c), the arrangements remain as described in last year's
Report.
(d) Hospital accommodation available for Plague, Cholera, Yellow Fever,
Small-pox and other infectious diseases.
As mentioned in the Introduction to this Report, the accommodation for patients
at your Isolation Hospital at Denton has been improved by the building of a new
cubicle ward block comprising eight cubicles, four on each side of a central duty room,
from which the nurse on duty can see every patient. The duty room is fitted as a
ward kitchen and, in addition, is equipped with a steam steriliser for crockery,
cutlery, &c., an instrument steriliser and a cabinet for drugs, instruments and
dressings. From the observation windows the nurse can switch on the light in any
cubicle. In the cubicles all the furniture is of metal, and in each are hung coats
which doctors, nurses and wardmaids must put on immediately on entering and not
take off till leaving the room. Curtains, which can be easily removed for disinfection,
are provided for privacy as an alternative to ward-screens. Along the north side of
the building runs a corridor in which are four lavatory basins where nurses can
sterilise their hands before entering and after leaving the cubicles. The taps are
arm-operated and the wastes knee-operated. Off this corridor are a bathroom,
a sink-room, a soiled-linen room and other necessary sanitary conveniences.
On the south side of the ward block is an open verandah on to which convalescent
patients confined to bed can be wheeled in favourable weather.
The new ward was opened by your Chairman on 24th November, and nearly all
the patients who have been admitted to the hospital since have been nursed in the
cubicles.
The following special instructions to Nurses have been modelled on those in use
at the Hendon Isolation Hospital and have been posted in the duty room of the
Cubicle Ward Block:—
The success of the Cubicle system depends on the care taken to prevent crossinfection.
Everything which may have come in contact with a patient must be