London's Pulse: Medical Officer of Health reports 1848-1972

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Lewisham 1880

[Report of the Medical Officer of Health for Lewisham]

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6
ing of the cow house must be of some solid and impervious
material; there must be proper light and ventilation ; proper
paving and drainage of the cow house and adjoining yard ; a
good water supply; a properly constructed dung pit; and a
clean, covered, impervious receptacle for grains. The cow
houses must be cleansed, and the manure removed therefrom,
twice daily; and all refuse removed from the premises at least
three times a week before 7 a.m.
The Board's Hospital.
The Hospital for the reception of patients suffering from
epidemic disease is now the freehold property of the Board of
Works of the Lewisham District, and the new building is
now completed.
It is well situated, being in a locality far away from
inhabited houses and at a good elevation, and has a resident
nurse ready for the reception of patients. Ambulances are
kept at Lcwisham and Penge for the conveyance of patients
suffering from infectious disease.
The importance of this establishment cannot be overestimated,
lor whenever a case of epidemic disease is removed
in order to prevent its communication to others, it confers a
benefit to the general public.
on this ground the payment for the maintenance and
medical attendance should be as low as possible to the friends
of the patient.
In accordance with this view, by a Resolution of the
Board, dated 23rd June, 1880, the payment was fixed at
one guinea per week; such charge to include maintenance
and medical attendance The charge for the ambulance is
only the actual cost incurred in each case for horse hire.