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in removing persons dangerously ill than in conveying persons of unsound mind who are not physically
diseased, while in the event of an epidemic, the shorter journey would add materially to the prompt
removal of cases.
Opposition will have to be met wherever the small-pox hospital shall be placed, and will probably
not be greater in one case than in the other, although there are good grounds for greater and more
successful opposition to the Dagenham site than at Chadwell Heath.
I respectfully submit it would, in my opinion, be advantageous to the Borough to use the latter site
for the small-pox, and the former for asylum purposes, for the following reasons:—
(1) The Chadwell Heath site is more easily accessible from West Ham, and consequently the
journey not so dangerous to the patient.
(2) More journeys could be made each day, with consequent diminished cost of removal.
(3) Should East Ham and Leyton engage to send their cases to our Hospital, this site would be
much more central.
(4) The Local Government Board, in my opinion, will not be so likely to object to this site as
to the Dagenham site.
(5) The Dagenham site is much larger, and the land offers greater advantages to the Council
from the employment of capable lunatics, than from the establishment of a small-pox
hospital.
(6) The Dagenham site is admirably fitted for dealing with the sewage of an asylum by the
irrigation process—a process unsuitable for sewage from a small-pox hospital.
CHARLES SANDERS,
Medical Officer of Health.