45
the very first case of Cholera occurring therein : the general sick, that is " all cases
other than Cholera," being at the same time removed to other temporary accommo-
dation ; should such a step be rendered necessary. In fact the rule laid down in the
Military Department that any building in which Cholera may manifest itself should
be abandoned, should, we think, be applied also in the case of Hospitals. In the event
of a case of Cholera occurring in Barracks or Jails, it should be taken at once to a build-
ing specially set apart for the treatment of such cases.
Provision of Quarantine
Hospitals or wards.
78. We would recommend in fact the establishment of quarantine Hospitals
or wards in connection with all stations, Regiments, Jails
and Civil Hospitals.
These ' quarantine' wards or Hospitals should be located with due regard to
acknowledged requirements, necessary to ensure as complete isolation as possible from
ail other sections of the community.
79. In Military stations garrisoned by a mixed force of European and
Native troops, we would recommend a distinct and separate Cholera Hospital for each
class, and every single station : that is every station garrisoned by a single Regiment,
should have its quarantine ward attached to its Military Hospital. These quarantine
Hospitals or wards might be used for segregation of all cases of contagious disease.
80. In regard to Jails, the quarantine ward should, we suggest, be outside
the Jail walls, so as to guard against the implantation of the Cholera germ within the
Jail area. In recommending this extramural position of the quarantine ward in
these institutions, we do not desire to interdict the removal of "other than Cholera cases,"
should it be deemed advisable ; and when the first case of the disease occurs, that is,
originates in the Hospital, or when one case having been admitted within its walls, other
cases occur amongst the general sick, it will be advisable to vacate the Hospital
altogether, removing the general sick to other accommodation either within or without
the walls of the Jail.
81. Civil Hospitals and Dispensaries should likewise, we advise, have a
separate and detached building for the treatment of Cholera cases. These buildings we
further recommend should be temporary rather than permanent, constructed of cheap
materials, so as to admit of their being swept away and replaced should such a course,
on sanitary grounds, be at any time advisable. Walls of mud or sun-burnt brick, with
thatched roofs would, we consider, be the best form of structure, the floors being
formed of well rammed clay covered with sand, the latter to be frequently changed, and
the former to be broken up and relaid on the cessation of each epidemic visitation of
the disease.
VIII. IN SEAPORT TOWNS IN WHICH THE DISEASE IS DIRECTLY IMPORTED BY SHIPS.
82. This section opens up the very important question of restrictive mea-
sures, under the designation of quarantine. The subject was treated of by the Inter-
national Sanitary Conference in five chapters, under the following heads :—
I. General considerations on restrictive measures.
II. Sanitary cordons, isolation, interruption and restriction of communi-
cation,