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 St. Giles District]
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(f) The Ambulances may be sent outside the Metropolitan district
only by special sanction of the Ambulance Committee or of the Clerk
to the Board, and in such cases an extra charge will be made of 1s. for
every mile outside the Metropolitan area.
4.—The Drivers of the Board's Ambulances are not allowed to
loiter on their journeys or to stop for refreshments on pain of instant
dismissal. It is particularly requested that any breach of this regulation
or any neglect or incivility on the part of the Drivers, Nurses, or
Attendants may be immediately reported to the undersigned.
The Servants of the Board are forbidden to accept any gratuities or
refreshments.
* N.B.—Dangerous Infectious Diseases include the following
Smallpox, Cholera, Diphtheria, Membranous Croup, Erysipelas, Scarlatina
or Scarlet Fever, Typhus, Tyhoid, Enteric, Relapsing, Continued
and Puerperal Fevers. The Ambulance Committee has also authorised
the use of their Ambulances for Measles and Chickenpox.
By order,
T. DUNCOMBE MANN,
Dated 26th March, 1900. Clerk to the Board.
N.B.—PENALTY—by Section 70 of the "Public Health (London) Act, 1891," it
is enacted that — "It shall not be lawful for any owner or driver of a public conveyance
knowingly to convey, or for any other person knowingly to place in any public conveyance,
a person suffering from any dangerous infectious disease, or for a person
suffering from any such disease to enter any public conveyance, and if he does so he
shall be liable to a fine not exceeding TEN POUNDS.
OTHER MIASMATIC DISEASES.
Influenza.
In 1899, influenza was fatal in 17 cases, 2 children and
15 adults; the deaths in the preceding three years being 1
in 1896, 6 in 1897, and 12 in 1898.
In addition to these 17 cases, many of the deaths certified
as bronchitis and pneumonia were more or less
connected with this disease.
In all London the deaths referred to influenza during
1899, numbered 1,817, which is the highest number
recorded since 1895.