ROYAL G

[12-3

Now, therefore. in exercise of the powers conferred upon them by the above named Acts, the Lords of the Council- order, and it is hereby ordered, as follows, that is to say:

l.—Prelz'm2'7zary.

Forthwith on the issuing of the present regulations, the Clerk of every Vestry or District Board (as the case may be) under the Act of the Session holden in the eighteenth and nineteenth years of Her Majesty, chapter one hundred and twenty, shall summon a special meeting of the Vestry or Board, in order that the present regulations may be brought before them, and that the Vestry or Board may make. as they are hereby required to do, such preliminary arrange- ments as will enable them, if sudden need shall arise, to carry the following regulations into immediate effect; and the Vestry or Board at such meeting shall direct the Clerk. by circular letters of request addressed to all legally qualiﬁed Medical Practitioners in the parish or district, and in such other ways as the Vestry or Board may think necessary, to take measures for causing the Vestry or Board to he made acquainted with any presence of Cholera or unusual amount or severity of Diarrhoea in the parish or district. or any part of it, if such be existing or should thereafter exist. and the Vestry or Board if apprised of any such presence of Cholera or Diarrhoea shall thereupon forthwith, so far as the circumstances require, do the several things hereinalter ordered:

IL— W/zen Cholera 2's in a Paris}; or Disirict.

1. Every Vestry or Board shall make arrangements for P

meeting, where the disease is actually prevailing, daily, either in a body or in one or more Committees, according to. the exigencies of the Parish or District, for the purpose of exercising the powers conferred upon them by the Act. 2. The meetings may be held at the ordinary Board-room, . and where necessary, at such other places as shall appear to be most convenient for dealing with the disease, and the . Vestry or Beard shall cause proper minutes of all proceed- ings to be made and duly recorded.

3. The Medical Ofﬁcer of Health shall, as far as practi- cable, attend the meetings of the Vestry or Board, and of its Committees, to render his advice thereat. and shall superintend all the medical arrangements for preventing and treating the disease. .

4. In each Parish or Districtin which Cholera is present, or, if the quantity of work to be done renders it desirable to subdivide the parish or district. then in each of such subdio visions, a legally qualiﬁed Medical Practitioner shall be put in charge of the Parish or District or subdivision for the medical purposes of these Regulations; and to each such Medical Practitioner (hereinafter named the Medical Visitor) zhall be allotted such Assistants as the Vestry or Board see

Such Medical Visitor, where practicable, or, in other cases, one of his Assistants, shall at least once daily visit those places assigned to him which are inhabited by the power classes and wherein the disease is, and shall there in- quire at every house as to the existence of Diarrhoea or Cholera, and shall enter in a book to be kept for the pur- pose the facts as to all cases he may meet with, and shall without delay give, or take the proper steps for causing to be given, all necessary medical assistance to the sick. And the Medical Visitor or Assistant shall, when visiting the places assigned to him, be provided with medicines for im- mediate administration in urgent cases, and shall be held to be in medical charge of all cases of Diarrhoea or Cholera

aznrrs.p

1"“:- _—~

provision for their medical attendance as may be made or sanctibned by the Vestry or Board.

5. Such Medical Visitor shall, by transmitting his above required boolz, or otherwise, report daily to the Medical Olﬁcer of Health the result of his own and his Assistants" inquiries, and shall report any nuisances which he or ,they ﬁnd existing in any premises visited by him or them, and shall make such suggestions as to the state of the parish or district as he shall deem advisable.

6. The Visitors shall, where they ﬁnd it expedient, com» municate to the Relieving Ofﬁcer of the district any case of destitution requiring relief, which is not entered in his relief list ; and such olﬁeer shall forthwith visit the same and give such relief as in his judgment the case shall require.

7. The Vestry or Board shall provide a suﬂicient number of Dispensaries, to be open night and day, at convenient: places within their parish or district, with an adequate supply of such medicines, medical appliances and disinfect- ants, as their Medical Oﬂicer of Health shall recommend, and with a legally qualiﬁed Medical Practitioner or skilled Assistant alw-ays in attendance at each; and such medicines, medical appliances and disinfectants, shall be dispensed with- out charge by such Medical Practitioner or Assistant to persons bringing orders for the same from the Medical Visitors, and to other persons who apply for immediate medical treatment. And the names and addresses of all such applicants shall he sent to the Medical Visitor of the place in which they reside.

S. In every case of Cholera or Diarrhoea, where the atient is not under medical care and treatment, the Vestry or Board shall ciuse medical assistance to be rendered with the utmost expedition, and such aid and comfort, nourish- ment and accommodation. as the circumstances of the case will admit, with the object of restoring health.

9. The Vestry or Board shall provide competent Nurses to aid every Medical Visitor in his attendance upon the patients suffering from the disease.

10. When the Medical Oﬂicer of Health recommends, the Vestry or Board shall, with as much despatch as prac— ticahle, provide ﬁt and proper accommodation for the recep- tion of such patients as have no home, or cannot properly be treated at home, and may with advantage to themselves be removed, and shall cause the same to be provided with all appliances, medicines, furniture, and other things necessary for the emergency, and shall appoint a legally qualiﬁed Medical Practitioner, with or without Assistant, as the case may require, to attend to the same.

ll. If Cholera or Choleraic Diarrhoea exist in any dwelling whereof the Medical Oﬂicer of Health reports that the sick and healthy cannot therein be properly separated, the Vestry or Board shall forthwith cause adequate accom- modation to be procured for the reception of the healthy; and when the Medical Oﬂicer of Health recommends that the sick person shall not be removed, but that the healthy shall be removed from the same room in which the sick person is lying, the Vestry or Board shall cause the other inmates of such room to be removed to some convenient place of reception.

12. The Vestry or Board shall, in dwellings where Cholera or Diarrhoea exists, cause proper'disinfectauts to be used in suﬂicient quantities for the purpose of disinfecting the discharges from the sick, and the bedding. clothing, and other things thereby infected, and the utensils and privies in which such discharges may have been received.

13. The Vestry or Board shall cause every article of clothing. bedding, or furniture which shall have been infected

with which he may meet until he is rtlicvcd by such other lwith any such discharge, and which they shall ﬁnd incapable