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SECTION IV,
(a) Isolation Accommodation.
(1) Accommodation is provided at the Isolation Hospital for
cases of Diphtheria and Scarlet Fever only. The Pavilion Block,
which is used for Scarlet Fever, consists of two large general
wards and an emergency ward, with a nurse's duty room and
kitchen situated between the large wards. Additional accommodation
is provided by a Berthon Circular Hospital at the rear of the
Pavilion Block, which is of very great service for convalescent
patients. The Diphtheria patients are treated in the Isolation
Block, which consists of two wards with sufficient accommodation
for eight children.
(2) There is no hospital for Small Pox in the district. The
Council is under an agreement with the Authorities of the South
Mimms Hospital for the reception of cases from this district.
It is probable in the near future, that the question of providing
accommodation for cases of Enteric Fever will arise, since
most of the general hospitals now decline to take these cases in,
and it is essentially a disease which requires hospital treatment,
both from a curative and preventive point of view, unless the
patient's domestic circumstances are exceptionally favourable.
(3) Ambulance Arrangements.
The Ambulance is of the latest Brougham pattern, containing
a stretcher bed, which takes out at the back, seat for the nurse, &c.
The vehicle is kept at the hospital and horsed by contract.
The Inspector has charge of the arrangements and superintends
the removal of patients. One of the nurses from the
Hospital goes with the Ambulance for every case, provided with
requisites for any emergency which may arise during the journey.
(b) Methods of Disinfection.
(1) In nearly all cases the work of disinfection is done at the
cost of the Council, under the supervision of the Sanitary Inspector.
As to Rooms: The procedure adopted in disinfecting rooms is
as follows:— In all cases the room occupied by the patient is
sealed and fumigated with sulphur dioxide gas, cylinders of compressed
gas being used. In cases which have been treated at
home, and in others kept at home for some days before removal to
the Hospital, the fumigation is followed by scraping and stripping
of all paper from the walls. This is not done, as a rule, when the