Staff and its duties when there are not more than twenty cases of Plague a week.
Staff and its duties when there are more than fifty but not more than eighty cases of Plague a week,
The Assistant Medical Officers of Health will visit each house in their respective districts in which a case of Plague has occurred, and investigate the history of the case and its connection (if any) with previous cases or suspected cases, in accordance with the forms supplied for this purpose. They will also give directions to the Plague Inspectors of their districts as to the disinfection of the premises and will authorize the requisition from the Disinfecting Station of as many of the foremen, artisans and coolies on the staff as may be necessary for the proper disinfection of the premises (not exceeding twenty in number, i.e. two gangs, for any one case) and as many contractor's carrying coolies as may be required for the conveyance of clothing and the removal of rubbish.
The First Class Inspectors will direct and be responsible for the efficient disinfection of the Plague infected houses in their districts and will be required to keep a careful daily record of the number of men employed under them, distinguishing the men on the staff from the contractor's coolies who are employed merely for carrying and hauling purposes; they must also keep a record of all stores used daily and the addresses of the houses where they are used.
The subordinate staff will now have to be augmented by the addition of one coloured foreman and one Chinese foreman for the sixth gang of disinfecting coolies on the staff, and by twelve coolies, posted at Wanchai, Taipingshan and Saiyingpoon respectively, for the conveyance of dead carts and ambulances. This is apart from the coolies now supplied by the Sanitary Board for the removal of dead bodies from the Tung Wah Hospital to the Mortuary and the coolies required for the removal of the bodies of infants daily from the French and Italian Convents to the Mortuary.
It will also be necessary now to rent premises for the accommodation of the persons displaced from Plague infected blocks of buildings and to appoint a temporary Inspector or a senior student of medicine to take charge of such premises. A statement of the duties of this officer is appended hereto. A temporary Inspector will now be required to superintend the burial of all Plague corpses at Cheung-Sha-Wan and arrangements will have to be made for the conveyance of such bodies across the Harbour, and contracts entered into for the supply of coffins and for the coffining of bodies, the digging and filling in of graves and the provision of head-stones etc. A statement of the duties of the Inspector in charge of burials is appended hereto.
Staff and its duties when there are more than twenty but not more than fifty cases of Plague a week.
Each of the Plague Inspectors will now require the assistance of a temporary Inspector, and these Inspectors will each require a Foreman Interpreter.
The disinfecting and cleansing gangs on the staff will have to be doubled in number—making 120 men instead of 60—and an additional six coolies on the staff will be required for the conveyance of dead carts and ambulances, while the Assistant Medical Officers of Health will as in the previous case requisition for such carrying and hauling coolies as they may deem necessary for the conveyance of clothing and the removal of refuse from both human Plague and rat Plague infected premises. Further accommodation for the persons displaced from Plague infected houses will now be required and another Inspector or senior student will be needed for these additional blocks if they are at opposite ends of the town, which is the most suitable arrangement and also the most economical as regards rental.
Each of the Plague Inspectors will now require two temporary Inspectors to assist him and each of these temporary Inspectors will require a Foreman Interpreter.
The disinfecting and cleansing gangs on the staff will now have to number 180 men, and the coolies on the staff for the conveyance of ambulances and dead boxes must be increased to thirty.
The contractor's coolies for carrying and hauling purposes will be requisitioned for, as before, by the Assistant Medical Officers of Health.
Although the foregoing method of organization allots an equal staff to each health district, yet as the disease progresses it shall be within the discretion of the Medical Officer of Health to withdraw some or all of the men from any one or more districts in which Plague may not prevail and concentrate them in those districts in which the disease may be most prevalent.
I have not dealt here with the question of a staff for special house-to-house visiting, as I am disposed to think that the benefits to be derived from this class of work are not altogether commensurate with its cost.
The coolies for the conveyance of the sick and dead reside, and the necessary ambulances and dead carts are kept, at the Central Disinfecting Station in Caine Road, Taipingshan (which is in connection both with the Exchange telephone, No. 363, and also with the Government telephone service); at the Board's matshed at Praya East, Wanchai opposite the Eastern District Sanitary Office; and at the Board's matshed at Praya West Sai-Ying-poon opposite the Sailors' Home.
January 1903.
FRANCIS W. CLARK.
Medical Officer of Health.
455
Staff and its duties when there are not more than twenty cases of Plague a week.
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Staff and its duties when there are more than fifty but not more than eighty cases of Plague a week,
The Assistant Medical Officers of Health will visit each house in their respective districts in which a case of Plague has occurred, and investigate the history of the case and its connection (if any) with previous cases or suspected cases, in accordance with the forms supplied for this purpose. They will also give directions to the Plague Inspectors of their districts as to the disinfection of the premises and will authorize the requisition from the Disinfecting Station of as many of the foremen, artisans and coolies on the staff as may be necessary for the proper disinfection of the premises (not exceeding twenty in number, i.e. two gangs, for any one case) and as many contractor's carrying coolies as may be required for the conveyance of clothing and the removal of rubbish.
The First Class Inspectors will direct and be responsible for the efficient disinfection of the Plague infected houses in their districts and will be required to keep a careful daily record of the number of men employed under them, distingui- shing the men on the staff from the contractor's coolies who are employed merely for carrying and hauling purposes; they must also keep a record of all stores used daily and the addresses of the houses where they are used.
The subordinate staff will now have to be augmented by the addition of one coloured foreman and one Chinese foreman for the sixth gang of disinfecting coolies on the staff, and by twelve coolies, posted at Wanchai, Taipingshan and Saiyingpoon respectively, for the conveyance of dead carts and ambulances. This is apart from the coolies now supplied by the Sanitary Board for the removal of dead bodies from the Tung Wah Hospital to the Mortuary and the coolies required for the removal of the bodies of infants daily from the French and Italian Convents to the Mortuary.
It will also be necessary now to rent premises for the accommodation of the persons displaced from Plague infected blocks of buildings and to appoint a tem- porary Inspector or a senior student of medicine to take charge of such premises. A statement of the duties of this officer is appended hereto. A temporary Inspec tor will now be required to superintend the burial of all Plague corpses at Cheung- Sha-Wan and arrangements will have to be made for the conveyance of such bodies across the Harbour, and contracts entered into for the supply of coffins and for the coffining of bodies, the digging and filling in of graves and the provision of head- stones etc. A statement of the duties of the Inspector in charge of burials is appended hereto.
Staff and its duties when there are more than twenty but not more than fifty cases of Plague a week.
Each of the Plague Inspectors will now require the assistance of a temporary Inspector, and these Inspectors will each require a Foreman Interpreter.
The disinfecting and cleansing gangs on the staff will have to be doubled in number-making 120 men instead of 60 and an additional six coolies on the staff will be required for the conveyance of dead carts and ambulances, while the Assistant Medical Officers of Health will as in the previous case requisition for such carrying and hauling coolies as they may deem necessary for the conveyance of clothing and the removal of refuse from both human Plague and rat Plague infected premises. Further accommodation for the persons displaced from Plague infected houses will now be required and another Inspector or senior student will be needed for these additional blocks if they are at opposite ends of the town, which is the most suitable arrangement and also the most economical as regards rental.
Each of the Plague Inspectors will now require two temporary Inspectors to assist him and each of these temporary Inspectors will require a Foreman Interpreter.
The disinfecting and cleansing gangs on the staff will now have to number 180 men, and the coolies on the staff for the conveyance of ambulances and dead boxes must be increased to thirty.
The contractor's coolies for carrying and hauling purposes will be requisitioned for, as before, by the Assistant Medical Officers of Health.
Although the foregoing method of organization allots an equal staff to each health district, yet as the disease progresses it shall be within the discretion of the Medical Officer of Health to withdraw some or all of the men from any one or more districts in which Plague may not prevail and concentrate them in those districts in which the disease may be most prevalent.
I have not dealt here with the question of a staff for special house-to-house visiting, as I am disposed to think that the benefits to be derived from this class of work are not altogether commensurate with its cost.
The coolies for the conveyance of the sick and dead reside, and the necessary ambulances and dead carts are kept, at the Central Disinfecting Station in Caine Road, Taipingshan (which is in connection both with the Exchange telephone, No. 363, and also with the Government telephone service); at the Board's matshed at Praya East, Wanchai opposite the Eastern District Sanitary Office; and at the Board's matshed at Praya West Sai-Ying-poon opposite the Sailors' Home.
January 1903.
FRANCIS W. CLARK.
Medical Officer of Health.
455
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