Note 383 — Chapter III

Circular of 1st August 1857, in Tenth Annual Report, 1857, p. 37. The Central Authority did not, prior to 1867, face the responsibility of deciding to require boards of guardians to provide hospital accommodation even for infectious diseases. In 1863, indeed, under fear of smallpox, it got so far as to transmit to Metropolitan boards of guardians an alarmist letter by Dr. Buchanan, and to permit the taking of temporary premises for "the destitute poor attacked by contagious or infectious disease" (Circular of 30th April 1863, in Fifteenth Annual Report, 1862-3, pp. 37-9). We believe that practically nothing was done upon this. In 1866, when cholera was imminent, another Circular was sent which, significantly enough, makes no mention of temporary hospitals, but points to an increase of the outdoor medical relief, disinfectants, sustenance and clothing to meet the "great increase of destitution" to be apprehended. "As far as practicable ... the admission of cholera patients into the workhouse should be prevented" (Circular of 27th July 1866, in Nineteenth Annual Report, 1866-7, pp. 39-40).