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

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West Ham 1897

[Report of the Medical Officer of Health for West Ham]

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96
Having regard to all the circumstances, I have decided to submit
for your consideration a Hospital for 179 patients, which, in my
judgment, is the maximum that the site will properly accommodate
in a normal way. I do so with all reservation as to the view that may
be taken by the Local Government Board.
I may say, however, that on emergencies, i.e., in the case of
.a serious epidemic, I believe the Medical Superintendent could see his
way to receive a greater number, certainly more than 200.
The scheme now submitted is shown on the Block Plan, No. 1.
A careful study of the site decided me to make the Main
Entrance to the Hospital in Samson Street, on the West
of the site, to place all the patients' buildings to the'North and East
of the entrance, keeping the Staff and Administrative buildings to the
South-east.
The inner line on Block Plan marks the limits of a 40-feet
zone next the boundaries, that being the minimum distance required
by the Local Government Board between infected buildings and the
boundaries of a site
All buildings containing sources of infection are in my plan kept
at least 40 feet from one another, from the boundaries, and from every
administrative building.
This applies also to that part of the Laundry containing foul
linen.
No buildings for patients are more than two storeys, and the
Residences alone are three storeys. All parallel pavilions are
laterally separated by at least twice their height, all having separate
airing courts, and in no case does the airing court of one disease touch
a building or airing court of another disease. As an exception, should
be noted the airing court of the Isolation Pavilion, where more than
one disease may be temporarily treated, but that court would only be
used under strict supervision.