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Brushes and combs must be soaked for half-an-hour in 1 in 20 carbolic
lotion or equivalent disinfectant.
The bedsteads and all ward furniture must be carbolised.
The cubicle must be disinfected by spraying the walls with a solution of
6 ounces formalin to the gallon of water (or such other disinfectant as may be
supplied) and be kept closed for six hours.
(e) Ambulance Transport.
On the Boarding Launch "Howard Deighton" is an ambulance room in which
cases of infectious sickness discovered on board ship at the time of arrival are removed
to hospital. Occasionally, however, cases of infectious disease develop in ships lying
in the docks or at wharves or buoys in the River. These cases may be transferred
to your Hospital either by road, an ambulance being hired for the purpose, or by River,
if circumstances and the condition of the patient permit. Your two River Launches
must, therefore, be capable of carrying cases of illness if necessary. The
"James Howell" has a cabin under the forecastle head, but this is not very convenient
or comfortable for a stretcher case. The new Launch "Frederick Whittingham" is
better equipped, and could carry two cot cases quite comfortably. This Launch
was built by Messrs. W. J. Yarwood & Sons, Ltd., of Norwich, to plans and specifications
prepared by Mr. R. J. Roberts, Chief Engineer of the Port Sanitary Authority.
Her length is 32 feet, breadth 8 feet 9 inches, moulded depth 4 feet 2 inches, draft
about 3 feet, and speed 8¼ knots. The engine is a 2L 2, six-cylinder Gardner Diesel of
57 b.h.p., the controls being in the wheelhouse, so that the crew consists only of a driver
and a boy. The cabin aft is equipped for the use of the Sanitary Inspector, but the
seats can be removed, enabling stretcher cases of sickness or accident to be accommodated
when necessary. The top of the engine room and cabin are specially strong,
and the deck narrow, so that the Sanitary Inspector can step from the engine-room top
or the cabin top on to lighters which frequently surround the ships he is required
to board.
(f) Supervision of Contacts.
The introduction of the double post-card on one-half of which the contact declares
the destination to which he is proceeding immediately on disembarkation and the
other half of which he retains for the notification of any change of address within the
residue of the incubation period, has undoubtedly increased the efficiency of
surveillance. Both passengers and crew have their obligations under the Port
Sanitary Regulations, 1933, more definitely brought to their notice, and they are put
to the minimum of trouble in notifying any change of address. It is an advantage
also to have the signature of the contact to the address he gives. Further, the
arrangement has reduced the clerical work involved in notifying the Medical Officers
of Health of the districts to which contacts are proceeding, and thus enables the
notifications to be posted earlier—an important point when a ship arrives toward the
end of the week, and when the incubation period of the disease has almost expired.
Arrangements for the Bacteriological or Pathological Examination of
Rats for Plague.
Arrangements made for other Bacteriological or Pathological Examinations.
Arrangements for the Diagnosis and Treatment of Venereal Diseases
amongst Sailors.
Arrangements for the Interment of the Dead.
All the above remain as reported in detail last year.