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35
Excluding for the moment, Small-pox, I have already shewn
on the preceding pages, that removal to Hospital exerts little
influence on the spread of disease. I have further shewn that
judging from the number of deaths in Measles and Whooping
Cough (183 over 11 years) as compared with Scarlet Fever (15
over the same period) that the Hospital treatment of this latter
disease might well be done without in favour of the Hospital
treatment of the two former diseases.
I am therefore prepared to state, that if the district is to
receive the greatest possible benefit reckoned in terms of lives
saved from its infectious diseases hospital, the following provisions
with regard to it must be made:—
(1). Arrangements must be made for taking in Measles,
Whooping Cough, Diphtheria, Scarlet Fever and Typhoid
Fever.
(2). The cases to be admitted must be selected and only
the following should be treated:—
(a). Those in need of medical attention and skilled
nursing.
(b). Those in which isolation cannot be reasonably
effected at home.
The duty of making arrangements under (1) would devolve
on the Resident Medical Officer in charge of the Hospital.
The duty of administering (2) (a) would fall upon the Medical
Officer of Health in consultation with the medical attendant in
charge of the case, and (2) (b) would be again the duty of the
Medical Officer of Health.
SANITARY WORK.
Table XI. gives a statement of the sanitary work done
during the year.
17,672 inspections and re-inspections have been made, or an
average of about 20 per day, by the Inspectors of Nuisances and
each of the two Assistant Inspectors. These numbers are
exclusive of the inspections which the Inspector of Nuisances