The daily union. [volume] (Washington [D.C.]) 1845-1857, 1848-11-15

urge the consideration, thai whatever Is preventive Oh
cholera is equally preventive OF yphus and of other
epidemic and constantly recurring disease and would
earnestly call the attention OF all classes to the striking
and consong fact that, formidable this maady is in
It's intense form and developed STAGE there Is no disease
against which is in power to take such efectua
precaution both collective communities and private
Individuals by vgilant attention to 1t in its first or pre-
monl,ory stage, and by the removal OF those agencies
which known TO promote the spread OF all epidemic
diseases Though, therefore, the issues of events
our hands, there ground for hope and
dence the sustained and resoute employment of the
OF protection which experience and science have
now placed within our reach.
By order of the General Board of Health.
HENRY AUSTIN, Secretary.
Ill. Cory OF INSTRUCTIONS ISSUED BY THE Pooh LAW
COMMISSIONERS TO THE Poor LAW ISspEcroRs
Pooh LAW Board
Somerset House, 9th October, 1S4S
SIR; am directed by the Poor Law Board to call your
attention TO the fact that Order in Council has been
issued for putting in force the provisions of the new Act
nth 18th Wet c. 1913, for the removal of nuisances
and the prevention OF epidemic diseases. By that Act
the General Board OF Health are empowered, upon the
issue OF the Order in Council to make regulations for the
prevention OF epidemic disease and by such regulations
TO authorize and require the guardians of the poor, by
them in the administration of the laws for the relief Of
the poor or by officers specially appointed this behalf
to superlnend and to the execution of any such
ulations and directions
For your information, copy is enclosed of Circular
Letter directed to the Board Of Guardians, calling their
attention to the amended provisions contained in the new
act, and the extended powers given therein.
When this country last visited by Asatic Cholera,
Qs32) in most of the larger towns it was found to be
cessay consequence of the nsuciency of the parO
chal local administrative machinery to constitute new
local administrative bodies, TO act expressly for the pur
pose, Boards Of Health But it has been deemed by
the Legislature that the local administrative machinery
created since then, of Boards of Guardians, with regu
lafly appointed medical officers and relieving officers,
having assigned duties in defined districts, with new
fever cases. will in many cases. render unnecessary the
creation of any new and separate local authority for the
The Board are however of the heavy duties Of
the boards Of Guardians in many of the densely popu
lated town districts, and that would not be proper
call upon them to perform additional extraordinary
services Such have been provided for by The 18th
section of the Statute which enacs that the said Guard
ans appoint employ for the superintendent and
aid of the oicers) persons employed in the admins
iration Of the laws for the relief of the poor"
The General Board of Health desire house TO house
visitation to be made in the poor and had conditioned dis
tcts, where the relieving officers required attend
on cases Of sickness or where epidemic diseases most
frequently prevail Qor il is in such places that the most
severe vsatons of Cholera may be expected unless pre-
cautions be taken) The regulations of the Board of
Health will authorize the active lime washing and CON-
plee cleansing Of such places.
The attacks OF Cholera are preceded by premonitory
symptoms and If these symptoms promptly attended
10 and properly treated. there little danger OF fatal
termination of the disease.
The Board of Health propose after the first examina-
lions have been made of the suspected districts for the
purpose OF directing preventive of cleansing,
that there should be regular houseto house vistatons
Tor ascertanng by inquiry the occurrence of the pemon
loIy symptoms. and treating them at once.
The arrangements required for carrying out the con.
empated regulations will of course vary with the of
the business Of the Boards of Guardians and their officers
gest any orders which may appear 10 YOU necessary or
advisable to be made under the 18th section of the Act
wh Why You sh may refer r. 70 IL for this object
acting as body committee might be named and might
under the authority of the 4h section associate with
them of the respectable inhabitants that are
n ia hiatt clo
man OF each parish should be associated with the special
committee Of guardians and other PERSONS for carrying
fulfilling the objects of the Act
In respect to the preventive of cleansing it is
to be observed that by the 10th section of the Act
veyors, district or assistant surveyors Of highways,
tees, county surveyors, and others by law ntrusted
with the care and management of streets and public
Ways and places may BY the regulations of the General
the frequent and eecual cleansing of such ways and
places These officers will be required assist the guard
piers, or the persons having the of houses dwellings
churches. buildings, and places of assembly
It's be observed that eectua cleansing operations
and all other preventive measures, will be effective
against the occurrence of typhus and the ordinary cpl
denies, as against Cholera.
la respect to the medical service required it is TO be
borne In mind, as effect observed during the former
visitation OF Asiatc Cholera that the ordinary epidemics
merged IN the new and extraordinary pes.i!ence.
The medical assistance required addition to local
examinations and the treatment of actual attacks will
be- medicines for the relief of the premontory symptoms
OF the disease. The requisite medicines should be dis
pensed at the houses OF the medical officers and also al
such other places the Board Special Committee of
Health may deem necessary. Packets should be made
up to be carried about and given the time OF the oc
currence OF any premonitory symptoms Other medical
practitioners may be associated under the authority of the
Act with the Poor Law medical officers in cases where
additional aid, COUNSEL direction appears requisite In
like manner, additional aborers may be EMPLOYED in the
cleansing operations.
1t should be impressed on the Guardians that the ar
engagements under consideration ought have
10 mOr ..oflo
claims upon their time will certainly be diminished by
the efiecua execution OF the above regulations the eff
cacy OF which has been proved by extensive
FOR measures OF more permanent relief and complete
prevention, You take to direct attention TO
the provisions OF the Public Health Act
fou are requested to forward the arrangements de.
scoed and IN the course of your visit note any special
parts OF towns, within your districts and it is desirable
mat You should commence with those where the proper
on OF deaths and of sickness regularly recurring
from epidemic diseases have been most numerous In
proportion 10 other cases, shown by the mortuary
resres, or the claims for relief account of sickness
am your obedient servant,
GEORGE NICHOLS, Secretary.
~ COMMUNICATIONS Received THE BOARD RE-
spEcTING CHOLERA
Report of Dr. Sutherland and r. d. Granger. .so IN
reaon TO the Of Cholera reported TO haze occur
red at Hull, on board Of Vessel that had come from
Hamburg. '' '''"'
We have now fulfilled the instructions piven ~. hv ,h
General Board OF Health in regard to Ire nory mic ,o
the reported of Cholera in Hull and III gsn.i
sanitary state of that town. and beg respectuilv n %
port iotar
First That the general sanitary condition of Hull !,