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

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St James's 1884

[Report of the Medical Officer of Health for St James's, Westminster]

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159
in the matter, but the Government have not yet taken any
action.
It may be added that the Vaccination Officer of the
Guardians and the Sanitary officers of the Vestry act in
thorough harmony, the latter supplying early information to
the former of houses coming under their notice where cases
of small-pox have recently occurred, with a view to the other
inmates of the house, or dwellings in the vicinitv thereof,
being vaccinated if necessary.
HOSPITAL ACCOMMODATION FOR NON-PAUPER
CASES.
Under the provisions of the Sanitary Act, 1866, the
Vestry have authority to provide hospital accommodation for
non-pauper patients suffering from infectious diseases, and to
remove to hospitals any such patients who are without proper
lodging or accommodation, or lodged in a room occupied by
more than one family. The Vestry have, however, not felt
justified in incurring the expense of providing a hospital and
maintaining a separate establishment for the treatment of the
few cases of infectious disease requiring removal, which
occur in this Parish, but have invariably sought the aid of
the Officers of the Guardians of the Poor to obtain the admittance
of all such cases (except patients able to pay the
fees charged at the London Fever Hospital, or the Highgate
Small-pox Hospital, as the case may be) to the Hospitals of
the Metropolitan Asylums Board.
In theory, the Hospitals of the Board are intended lor
pauper cases only, but in fact they are largely used by Sanitary
Authorities, through the intermediation of the Poor
Law Officers, for the reception of the class ol persons for
whom apparently the Sanitary Act of 1866 (which was