Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for West Ham]
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In my judgment, such a central stack is much better for an
infectious ward than a stove with horizontal flues, which are harbours
for germs, difficult to clean, require manholes in the ward floors,
and are inefficient exhaust ventilators. In upper floors, the horizontal
flues, if swept externally, need ladders, and they necessitate a floor
2 ft. to 2 ft. 6 in. thick. These stoves are also difficult to light
except with the aid of gas jets. Exhaust ventilating flues in external
walls are cold and not of great value. In a warmed central stack
an upward current is naturally induced.
On one side of the large ward, in a central position, is placed a
sanitary tower containing two w.c.'s, a bath-room, with one fixed and
one movable bath, and lavatory basins; a nurses' room, with scalding
sink, slop sink, and other necessary fittings. This is cut off by a disconnecting
enclosed bridge.
At the extreme end a safety exit stairs is provided, which gives
access also to the Airing Court.
The First Floor is similar, but I have made a two-bed ward
and no sisters' room.
There will be no internal communication between the ground and
first-floor of a pavilion.
The Diphtheria and Enteric Wards are similar in
general character, but the large wards have each twelve and ten beds
respectively, with a floor space of 195 feet per bed, and a cubic
capacity of 2,525 feet.
The Home.—Drawing Nos. 3, 4 and 5.
This is H-shaped on plan, and of three storeys. The Medical
Superintendent's residence, consisting of sitting-room, bed-room,
bath-room, w.c., and cupboards, is in the south-west wing in a selfcontained
flat, with an external door as well as an internal entrance.
Adjoining is similar accommodation for the Assistant Medical
Officer.