Stott:—Attends 3 days a week from 10 a.m, till the work of the day is finished.
3.—The First Assistant, Mr. King:—Mr. King is the caretaker, and lives "on the premises. He ties up, shaves, and weighs the calves, looks after their feeding, and generally superintends the work done at the Station other than that of the Directors.
'4.—The Second Assistant assists Mr. King to secure and weigh the calves, keeps the stables in order, etc, 5.—The Matron' assists among the women and children on vaccination days. Keeps house generally.
tierk:—iills in forms, books, ete, Attends on Tuesdays and Thursdays from 10 a.m. to 3 or 4 p.m.
Besides these there is the man in charge of the quarantine station at Little St. James' Street Vive calves are delivered each week at the station, a spare animal being always kept on the premises in case of need. The calves are sent from the quarantine station in St. James' Street, in which they are kept under observation by the Superintendent for eight days. Should a calf appear to be in doubtful health after being received at the vaccine station, it is immediately isolated in the Isolation Stable." The calves are fed principally on milk; and a certain quantity of hay, accords ing to age, is given to each calf. The milk for the feeding of the calves is delivered at the station in large tin cans, padlocked, and holding eight (8 Ib. 4 quart) gallons. This milk is always boiled on the premises, as it is found that calves fed on milk not treated in this way are apt to suffer from diarrhea. The copper in which the milk is boiled is in a suiall shed in a corner of the yard.
I now take the plans of the building 1 and 2 in detail a two-storied building.
The whole of the ground floor is made of conerete to allow of free and frequent washing and sluicing with a hose-pipe. Each room and stable is heated with hot-water pipes, so arranged that the heat in any one can be maintained independently of the others.
The rooms are lighted with gas, with specially shaped gaseliers above th> operating tables in the operating room; this is necessitated by the London fogs.
The Waiting Room:—It is in this room that those who come for vaccination and re-vaccination assemble. It looks out on the yard. Kesides the window on the south side, itis lighted at one corner by i a '"well-hole;" no vaccination are done in this room, and special arrangements. for lighting are unpecexsry. The dotted lines drawn across this room in the plan with the round holes, merely indicate the position of large beams' in the roof supported by light iron pillars. The circular staircase, marked in the plan, is a light iron structure, giving access to the Microscope Room or Laboratory and the top flour gei rally. Besides a table this room contains about 200 plain wooden chairs, with a few low wooden stools for the fect of nursing mothers to rest on. In one corner under the skylight, there is standing at present a spare table (unused) for calf vaccination.
Operation and Vaccination Rooms:—These form in reality one large room extending across the building, and divided, as shown on the plan, by a centrally placed and incomplete partition about seven feet high.
(a) Operating Room (Calf):—In this room are arranged tive three large tables on which the calves are secured for vaccination, ete. At the side of these tables perforated india rubber mats (xbout 4x3 ft.) are provided for the operators to stand on; wooden gratings would answer the purpose. Besides the tables there are three stands on castors, about 17"
yuare on which lancets, ete, rest ata convenient height for the operators. A weighing machine for calves, stands in one part of the room, und a small chest containing the straps, ete., used in securing; the calves in another. There is a small fire extineteur in this room. Hooks are fixed on both sides of the partition at a convenient height for hanging up coats, hats, ete. There is a sink with a tap in this room, not shown in plan, The is lighted by a large skylight over a well-hole, The light must be good both in this room and the vaccination room; I have already mentioned the special gas arrangements made to meet the occurrence of foggy weather.
(b) The Vaccination Room:—This room is lighted on the south side by two large windows under one of which are two washhand basins with water taps. There are three large table desks with drawers at the sides in this room; a cupboard supporting book shelves, and some 25 plain wooden chairs complete the furniture of the room. The washing stand is furnished with soap, nail brushes and towels. 'The desks with paper, pens, ink, ete. The shelves over the cupboard contain the registers, ete., ete. the drawers of the desk, the printed' cards, etc., given to the patients.
The instruments, etc., used in the operating and vaccination rooms are the following Clamp foreeps—to clamp calf vesicles.
Scalpels.
Lancets, ordinary bleeding—used in vacmating (human).
"Points"—made from ivory shaving—bought by the gross.
Capillary glass tubes"—bought by the Razors—for shaving calves on area vaccinated.
Plates—ordinary soup—to bold "charged points," ete.
Wire guaza meat covers—G—to protect drying points from flies, eto, Cylindrical glasses for milk—used as "cre-
A pair of compasses—used to measure percentage of cream in milk supplied to calves, Wooden boxes, small, to pack stores of lymph.
Besides these there are kept in this room:—The Registers—4 in number, viz.-——Primary vaccination register.
Re-vaccination register.
3.—Kexister ofcalves and calf vaccinations.
Call Register (special).
Printed forms and cards—used in human vaccinations, The Stables for the calves:—As every attention must be paid to the health of the animals used in the cultivation of the lymph, the stables must be carefully conducted and well kept; they are of course small in size, 'The Toor, made of concrete, has a' fall to channels opening into a well trapped drain. Each calf has a floor space of 36.7 feet. The partitions between the stalls are made of slate capped with wood, and slope upwards from about 3} to 44 feet." The troughs are made of iron. The communieation with the loft" is made by @ short ladder. The maintenance of a proper tempera ture in the stables is a matter of considerable importance, and is provided for by the independent arrangement of the hot water pipes referred to on page 4 of this letter, The Yard.—The use made of the yard is nearly sufficiently indicated on the plan, The milk boiling shed and isolation stable have already been referred to.
The upper storey, with the exception of the spaces reserved for the microscope room and the loft, is occupied by the care-taker (I Assistant) and his family (at present his sister, the Matron).
The Microscope Rooma:—This room is lighted by two large windows on its south side. It contains two long plain wooden tables, one across the windows and one on the opposite side of the room, In one corner is a water tap over a small sink. Shelves are ranged round the walls, and these with two stools and a chair complete the furniture, The instruments, ete., used in this room are the f Nowing A Microscope.
A hot box—for sterilization—(wire trays).
An air pump—used to dry "points" ropilily.
Filtering and boiling stands.
Filters and spirits lamps.
Flasks, pipettes, and watch glasses, Glass measures and porcelain slabs, Weighing machine.
Test tubes and test tube stand, Besides these there are. Lottles containing staining re-agents, carbolic acid, glycerine, ete., etc.
This room seems to me rather too small for its purpose, which is really that of a laboratory. In view of possible work to be done in Shang: hai on other subjects connected with the public health than vaccination, I would uggest that the laboratory connected with the Vaccine Station should be at cast half as large again as the room under consideration, the cost of the proposed undertaking Teg 'o enable the Council to calculate roughly
first to submit for their consideration the estimate given to me by Dr. Thorne Thorne of the annual cost of maintenance of the Lamb's Conduit Street Station; this is simply
by the Local Government Board to which excerpt from the annual report published Dr. Thorne Thorne is Medical Officer. The bracketed sentences are my own, EXCERIT FROM TH ANNUAL REPORT OF THE
Text read from the printed page and cleaned; old type leaves the occasional error.