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7
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"under such circumstances, to be of any use must be large and costly, and th???
"construction can seldom be of a kind that is suited in after times for to
" isolation requirements of their districts.
"The present memorandum is designed to represent to urban and
"rural district councils who are without means of isolation for first cases ???
"infectious sickness appearing in their districts, as also to those who ar???
"responsible for the health of special communities in public institutions o???
"elsewhere, the importance of providing isolation hospital accommodation, and
"of doing so before the invasion of actual infection. It is further intended to
"suggest to authorities of rural districts and of small towns the means by which
"they may most advantageously make such provision. Some general principles.
"to be held in view by all authorities who are about to establish isolation
"hospitals for their districts will be illustrated in the course of the memo"randum.
"As regards Villages.—Large villages and groups of adjacent
"villages will commonly require the same sort of provision as towns. Where
"good roads and proper arrangements for the conveyance of the sick have been
"provided, the best arrangement for village populations is by a small building
"accessible from several villages; otherwise the requisite accommodation for
"(say) four cases of infectious disease in a village may at times be got in a
"fairly isolated and otherwise suitable four-room or six-room cottage which has
"been acquired by the authority; or by arrangement made beforehand with
"some trustworthy cottage-holders, not having children, that they should
"receive and nurse, on occasion, patients requiring such accommodation.
"In towns, hospital accommodation for infectious diseases is wanted more
"constantly, as well as in larger amount than in villages; and in towns there is
"greater probability that room will be wanted at the same time for two or
"more infectious diseases which have to be treated separately. The permanent
"provision to be made in a town should consist of not less that four rooms, in
"two separate pairs, each pair to receive the sufferers from one infectious disease,
"men and women, of course, separately. The number of cases for which
"permanent provision should be made must depend upon various considerations,
"among which the size and the growth of the town, the housing and habits of its