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disease, such as small-pox, scarlatina^ or typhus
fever, than the present system of returns could
in many instances afford*

The Commissioners therefore request thai in the
event of the occurrence of cases of any dangerois
contagious disease in your district in sudi nuiaban
aa to give reasonable ground to apprehend that ifc
may become epidemic, you will address a repGort
of the £Busts to them so as to enable them to call
upon the Board of Guardians without delay to
make such special provision as may be neoesany
to prevent or mitigate the eviL

By order of the Commissioners,

B. Banks, CAte/ C&fiit

To each Medical Officer of a
Dispmsctry DiitrieL



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Pabt in. 7.] AUmdame on Fever FaUente. 947



No. 26. — Attendahcb oh Fever Patients. — cuuroLAns.

ClBCULAB to DiSPSNSABY MeDICAL OFVICSRS.

Foot Law Commission Office, Duhliny
2nd July, 1856.

Sir, — The attention of the Commissioners for
administering the Laws for Relief of the Poor in
Ireland has been directed to the fact that some
Medical Officers of dispensary districts, especially
those recently appointed, as well as some members
of Committees of Management, entertain the
erroneous opinion that a Medical Officer has dis-
charged himself of aU responsibility of further
attendance upon a patient suffering from fever^ on
whose behalf a visiting ticket has been presented
to him, after he has once visited and recommended
the removal of the patient to a fever hospital.

In reference to this subject, the Commissioners
desire to point out to you, that section 9 of the
Medical C^rities Act provides, that "every mem-
ber c^ the Dispensary Committee, and eveiy Ke-
lieving Officer and Warden acting for an Electoral
Division included in such dispensary district,
shall have power to afford medical relief by the
issue of a ticket in such Form as the said Com*
misaioners shall prescribe, addressed to the Medical
Officer of the district, directing him to afford miedi*
cine and advice to, or attend any poor person resi-
dent therein ; and it shall be the duty of the Medi*
cal Officer to afford medicine and advice, and to
attend such poor person as thereby directed :'' and
the Dispensary Begulations require that the Medi>
cal Officer " shall duly and punctually attend upon»
either at the dispensary during the appoiBted
hours for attendance thereat, or at the home of the
party on whose behalf application is made, or else*
where, as the case may require, and supply all
requisite medical or surgical advice and aasistanoe
to every poor person in the district, or division of
a distript un<kr his charge," on whose behalf a
ticket in the prescribed Form has been presented ;
aad the Commissioners desire to stajbe that a Medi-
cal Officer of a dispensary district will be held

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948 Services of Midwife. [Pabt III. 7.

cmctTLABF. responsible for the due performance of this duty
so l<Mig as the case requires his attention, or until
the ticket shall have been cancelled in tiie manner
provided for by the 9th section of the Medical
Charities Act.

By order of the Commissioners^

B. Banks, Chief Clerk.

To the Medical Officer of each
Dispensary District



No. 27. — Services of Midwife. — Circulab to
Dispensary Committees where Midwtves have
been appointed — 2nd August, 1861.

Poor Law Ccmmissian Office^ DubUn^
2nd August, 1861.

Sir, — ^The attention of the Commissioners for
administering the Laws for Relief of the Poor in
Ireland has been drawn to the circumstance that
a difference of practice prevails in different dis-
pensary districts where a Midwife has been i^
pointed, as to the manner in which the services of
the Midwife are brought into action, and also to
the fact that, in some districts, evil results have
ensued from the pi*actice adopted.

With a view to the prevention of such evils, the
Commissioners think it right to call the attention
of the Committee of Management to the subject,
and to point out that a visiting ticket issned in
the usual form in a case of Midwifery casts on ihe
Medical Officer receiving it a full and undivided
responsibility, notwithstanding the fact that a Mid-
wife is officially employed in the district. The
services of the Midwife are not intended to relieve
the M^ical Officer from his responsibility under
the Medical Charities Act and the Commissioners'
regulations, issued in pursuance of that Act ; but
they are placed at his disposal for the purpose of
enabling him to relieve himself, where he can do
so with safety, from the necessity of attendance in
oases of natural labour in which no difficulty exists



Pakt III. 7.] Services of Midwife. 949

to demand a continued attendance on his part. cmcvLARs.
The services of the Midwife are placed at the
disposal of the Medical Officer, but the Midwife is
not substituted for the Medic»I Officer, and he is
entirely responsible as to the extent to which her
services are to be relied on in each case.

In accordance with these views, the Commis-
sioners desire that the following course may be
adopted in all cases in which dispensary relief is
required by ticket for women in labour.

The ticket should, as in other cases, be addressed
to the Medical Officer, and not to the Midwife.

The ticket should be presented to the Medical
Officer, who should roister it, and ascertain by
minute inquiry — or, if it should appear necessaiy,
by visit to the patient — ^that the case is one of
natural labour.

If it should appear on such inquiry or visit that
the case is likely to be attended with any difficulty
or danger, the Medical Officer will of course take
charge of the case himself ; but if he is satisfied
that it is one of natural labour, he should send
written or printed instructions to the Midwife,
requiring her attendance on the case so long as
it shall proceed naturally, and directing her, that
should anything out of the course of nature, or
dangerous, arise in the case, she is immediately to
call for Ins assistance.

If in any case the Midwife finds it necessary to
call for the assistance of the Medical Officer, in
pursuance of such instruction, and should intimate
the same to him, he must immediately take charge
of the case, and continue in charge of the patient
until her recovery or the termination of the case.

On the termination of those cases in which the
assistance of the Medical Officer has not Ijeen
called for, the Midwife should report the result to
the Medical Officer for registration.

By order of the Commissioners,

B. Banks, Chief Clerk,

7\> Himorcvry Secretarf/y

DispeMory DiatriO. Pooal^

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950 Custody of Foiacnous Medicines, [Part HI. 7.

CIRCULAK8. No. 28. — Custody of Poisonous Mbmchtes. —
Circular to Dispensary Committees — 111^
August, 1862.

Foot Law Commission Office^ ZhMtfty
lltJi August, 1862.

Sir, — The Commissioners for administering the
Laws for Relief of the Poor in Ireland have had
their attention drawn to the recent conviction of
a union officer for murder by poisoning, and to
. the fact that he is supposed to have obtained the
poison from the workhouse surgery.

The Commissioners think it right to call the
attention of the several Dispensary Committees to
this subject, in order that, if sufficient and satis-
factory arrangements do not exist at present for
the safe custody of poisonous medicines at the
dispensary, the requisite directions may be at once
given.

The Commissioners suggest that poisonous medi-
cines should be kept under lock and key, separate
from the other medicines, and that the Mediod
Officer should himself retain, and be responsible
for, the possession of the key.

By order of the Conunissioners^

B. Banks, Cki^ Clerk

To the Hon, Secretary of each
Dispensary ComimUee.



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8. GENERAL OEDER,



DATBO Mm OCTOBKB, l«<C



CHABGING EXPENSES UNDER THE
SANITARY ACT, 1866.



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[ 953 ]
GENERAL ORDEE,

DATED ISn OOTOBBB, 1866;



CHARGING EXPENSES UNDER THE SANITARY
ACT, 1866.



To the Guardians op the Poor of each of the modb or
XJmons in Ireland, and to all whom it may k«wm«
concern, cnd«r sani-

tary Act.

Whereas, by the "Sanitary Act, 1866," it is olmi
among other things enacted, that in Ireland the ^^ Q^J^ig^.
" Sewer Authority," as defined by the provisions
of that Act, rfiall be also the "Nuisance
Authority*' for executing the Nuisances Removal
Acts:

And whereas the Sewer Authority in Ireland
for all places not under another Sewer or Nuisance
Authority is, by the provisions of the said Sanitary
Act, 1866, defined to be the Board of Guardians
of the Union in which each such place is situate :

And whereas by the provisions of the said
Sanitary Act the Sewer Authority may appoint
one or more Committees consisting wholly of its
own members or partly of its own members, and
partly of such other persons contributing to the
rate or fund out of which the expenses incurred
by such Authority are paid, and qualified in such
other manner as the Sewer Authority may deter-
mine :

And whereas by the provisions of the " Nui-
sances Removal Act for England, 1855," it is
among other things enacted, that the Nuisance
Authority may appoint any Committee of its own
body to receive notices, take proceedings, and in

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954 Mode of Charging Expemes, [Pabt III. 8.

MoDB or all or certain qualified respects to execute the said
KxPBNsn Act, and the provisions of the said Act are now
^'^Ti^Ict'" extended to Ireland :

— And whereas by an Order under our Seal,

orfer: bearing date the twenty-fifth day of August in
12 Oct 1866. the present year, it is directed that when cholera
is in any union the Committee of Management
of each dispensary district shall be the Sanitary
Committee for that district for carrying out the
purposes of the Diseases PreTention Actf :

And whereas by the provisions of the "Sewage
Utilization Act, 1865," it is among other things
pi-ovided that the expenses incurred in carrying
out that Act in any town or village for which
the Guardians are the Sewer Authority, shall be
charged only on the electoral division in which
such town or village is situate, and it is there-
fore not necessary to make any Order in that
behalf; but by the Sanitary Act, 1866, it is
provided that the expenses incurred under the
Nuisances Removal Act, and likewise the expenses
incurred under the Diseases Prevention Act, shall
be charged to the union or any electoral
divisions thereof, in such manner as the Poor
Law Comnmsioners shall, from time to time, by
General Orders applicable to classes of cases, or
by Order in any particular case, direct :

Now therefore, we, the Commissioners for ad-
ministering the Laws for Kelief of the Poor in
Ireland, do hereby order that all expenses
incurred by the Boaoxi of Guardians as a Nuisance
Authority, whether directly by the Board itself^
or through the agency of any Committee appointed
as aforesaid, shall be charged upon the electoral
division within and for which such expenses shall
have been incurred, unless we shall by special
Order in any particular case otherwise direct, and
in that case such expenses shall be charged as we
shall in the said special Order direct :



« The Order here referred to is not now in force, the Order <^
tbe Priry Council, under wliich alone it eoold be issued, harln^
expired.



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Part III. 8.] wider Sanitan/ Ad, 1866. 955

And we do hereby further direct that all modbof
expenseB incurred by any Board of Guardians ^^^
under the provisions of the Diseases Prevention ^^J^l^l^''
Act, whether directly by the Board itself^ or —
through the agency of any Committee of Manage- oX7/
ment of a dispensary dLatrict, shall be charged i2 0ot. i866.
on the electoral divisions constituting the dis-
pensary district, and debited to such divisions
in the proportion of their net annual value
respectively.

Sealed with our Seal, this Twelfth day
of October, in the Year of Our Lord
One Thousand Eight Hundred and
Sixty-six.

(Signed,)

A. POWEB.

J. McDonnell.

Abebcorn.

I, James, Marquess of Abercorn, Lord
Lieutenant-General and General (Governor of
Ireland, do hereby approve this Order.

By Command of His Excellency,

Thos. a. Larcoh.



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9. GENERAL ORDER,

DATED 2»ni FEBRUARY, 1867,



PRBflCRIBINO



FORM OF CONTEACT FOR MEDICAL AKl)
SURGICAL SUPPLIES.



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[ 959 ]
GENERAL ORDER,

DATED t9Tn FEBRUARY. 1867.



FORM OF CONTRACT FOR MEDICAL AND
SURGICAL SUPPLIES.



To the Guardians op the Poor of the several poMior

Unions named in the Schedule to this Order coimucT

annexed, and to all persons whom it may 'Su-aio)'

concern. surgical

SUPPUBS.

Whereas by a General Order under our Seal, o^ieimi
bearing date the nineteenth day of January, 1852, p*]?*^i*7
for regulating the meetings and proceedings of
Boards of Guardians in Ireland, we, the Commis-
sioners for admini»tering the Laws for Relief of
the Poor in Ireland, have, among other things,
ordered and directed as follows : —

" Article 16. All contracts to be entered into
on behalf of the union, relating to the main-
tenance, clothing, lodging, employment, or
relief of the poor, or for any cither purpose
relating to, or connected with, the general
management of the poor, shall be made and
entered into by the Guardians.''

"Article 21. The contracts shaU be in such
form as the Commissioners may, from time to
time, prescribe or approve, if any form shall
have be^a jfo-escribed or approved ior that
purpose by the Commissioners. ''

And whereas by another General Order under
Ofur Seal, prescribing General Rules and Regular
tions for the (Government of Dispensary Districts,
and bearing date the sixteenth day of December,
1853, we have, among other things, directed as
foUows: —

"Article 26. The Boards of Guardians shall
on receipt of the estimates of the require-

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960 Form of CorUract Jar [Part UL 9.

FoEM or ments of each dispensary in the union, from

S^!rSt^. time to time, and the requisition of the Com-

CALAMD mittee of Management thereon, cause the

luppLnu. necessary supplies to be immediately furnished

-— \ for the use of such dispensary district.

Order: Aud whereas it appears to us to be expedient

38 Feb. 1867. ^ prescribe a special form of contract to be
entered into by persons undertaking to supply to
the Board of Guardians for the use of a work-
house or dispensary in any union in Ireland,
dnigs, medicines, and medical and sui^gical
appliances, so as to insure, as far as possible, the
supply of articles of a proper quality :

Now therefore, in exercise of the powers and
authorities vested in us under the provisions of
the Acts in force for the Relief of the Poor in
Ireland, we do hereby order and direct that in
making contracts for the supply of drugs, medi-
cines, and medical and surgical appliances for the
use of a workhouse or dispensary in any union in
Ireland, the Guardians of such imion shall sdo^
and make use of the form of contract hereinafter
set forth :

And we do hereby further order and direct that
the person or persons so contracting shall he
required to enter, with two sureties who may he
approved by the Board of Guardians, into a bond
according to the form of bond annexed to the
said form of contract, in such penal sum as the
Board of Guardians shall think fit, conditioned
for the due performance of the contract.



FOKM OP CONTRACT AND BOND HEREINBEFORB
REFERRED TO,



Contract for Supplies qf Drugs, Medicines, and JfeeUctd wsi
Surgical AppUnnceSt to be delivered /rem the dti§

of to the day of

Memorakdum op Aorbekknt, made the daj of
one thotuand eight hundred and between

of the one part, and the Ooardimn* of tin
Poor of the Union, of the other part.

It is hereby agreed by and between the said parties hereto;

and the said do , in consideration of the

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Part III. 9.] Medical and Surgical Stipplies. 961

payments to be made to as hereinafter mentioned, ^°*'* **'

hereby contract with the Goardiann of the Poor of the wo^Mm-

Uiiion, that the said shall and will, from cal and

the day of until the day of next, Soroical

inclusive, serve, supply, and deliver, or cause to be delivered, Su pplim .
free of all expense, at in the said union, at such Genenl

times, and in such manner as the said Guardians, or their Order:
clerk, or other officer of the said union, duly authorized by 28 Feb. 1867.
them, shall from time to time direct, the articles hereinafter
mentioned and described, in such quantities as shall from
time to time be required by the said Guardians, and at and
after such rates or prices as in the list hereinafter enume-
rating the said articles, are set forth :

And they, the said Guardians of the Poor of the
Union aforesaid, do hereby agree, that in case the said

shall well and truly serve, supply, and deliver
the articles aforesaid, upon the terms and in manner aforesaid,
according to said agreement, they, the said Guardians

of the Poor of the Union, shall and will well and

truly pay or cause to be paid to tho said
within days after each and every such delivery

during said term, at the rates and prices aforesaid, for such
quantity of the said articles as shall have been ordered, served,
supplied, and delivered, during said period of and

of which a bill of particulars shall have been sent at the time
of the delivery of said articles. Provided always, and it is
hereby expressly declared and agreed, and particularly by and
on the part of the said that in case any such article

or articles as shall or may from time to time be supplied or
delivered under the provisions hereof, shall not be considered
by the said Guardians in every respect of good quality, and of
the quality and sort contracted for, or in exact conformity
with the patterns or samples exhibited by or to the said
Guardians, then, and in any such case, such questionable
article or articles shall and may be submitted and referred to
some one person, to t>e named by the Commissioners for
administering the Laws for Relief of the Poor in Ireland, whose
decision in relation thereto it is hereby agreed shall be final
and conclusive upon the parties hereto respectively. And it
is hereby further agreed that in the event of any article or
articles being found and declared by the person so to be
named by said Commissioners as such referee, not to be in
every respect of good quality, or not to be of the quality and
sort contracted for, then that the said shidl and

will thereupon take back such rejected article or articles, and
ahall and will replace the same with other article or articles
of proper and sufficient quality according to the true intent
and meaning hereof, and shall bear the extra cost of any such
articles as the Guardians shall have been obliged, through
such default, to purchase. And it is hereby further expresslj
■greed, and particularly by and on the part of the said
that in case such articles as are hereby contracted for, or any
of them, shall not be duly served, supplied, and delivered by
when and as directed by the said Guardians, or

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962 Fcfrm of CkmtmcL [Pakt IlL 9.

Form or their dork, or other officer duly antfaorised by them, or in

CoNTBACT jjijgg g^pjj urtide OT articlos ss shall or may be found" and

FOR MKDK« -.. - .•'.



cAi. ANb ' decided by rach referee as aforesaid, not to be in every i
SuaoicAL of good quality or of the sort oontracted for, shall not hare
SuFPLUtt. |)een so taken away and replaced by the said as

Oennal hereinbefore provided, or in case such artids or articles, cr
O^er : <^y ^^ th^n, shall be deficient in the weight, size, measnre,
28 Feb. 1867. or quantity, stated and charged for in such bill of particiriars,
or if the same shall be delivered without such bill of parti-
culars, they, the said Guardians, or their clerk, or other
officer so authorized by them, shall be at liberty to Ktnm
the same at the expense of the said oontrador, «r give notice
for the same to be sent for and fetched away by ;

and that in eveiy such case the said Guardiaiis, or tbeir
clerk, or other officer so aulAiorized by them as i^resaid,
may purchase a fresh supply of such articles, or of such other
artideB in lieu thereof, as the said Onardiana, or their derk,
or other officer so authorized as aiM«8aid« shall thmk fit,
or employ any other person or persons to fumteh a fresh
supply of such first-mentioned artides or of such other
articles in lien thereof, as aforesaid, in such a manner a« may
be required during the period of the said contract, or any
part of such period in the place of the said
And it is hereby further agreed that in case sach first-men-
tioned artides shall not be duly served, supplied, and delivered
in such quantities as shall from time to time be required br
the sud Guardians, then in every such case, and as often as it
shall so happen, the said Guardians, or their clerk, or other
officer so authorized as aforesaid, may purdiase from auy
other person or persons other than evch s

supply of the said first- mentioned articles, as shall be neceasarr
to complete the quantity required, or to purchase and provide
such quantity or quantities of any other article or articles,
directed by the said Guardians to be used instead of the said
first-mentioned artides, as shall be considered necessary by the
said Guardians to supply such defidency, and ihaX in any and
every of such oases the said executors and

administrators, shall bear and make good all charges and
expenses of such artides so to be provided, over and above the
price at which sudi first-mentioned artides are hereinbefore
oontracted to be supplied and delivered by the said

And also that the said Guardians of the Poor of the
Union may retain and apply any sum of money which may he
due to tlie said under and by virtue of this

agreement, at the time of any failure in the perfomance
hereof, to the pi^rment of such charges and expenses, as th«
said Guardians may hicur, or be put to by reason thereof.
And that, notwithstanding the agreement hereinbefore oob-
tained for making good the articles which shall not be served,
s^aplied, and delivered according to the terms hereinbefore
agreed on and in pmsuance of this Coatract, the said
Guardians of the Poor of the Union may put in

amt the bond to be given for the perfonnance of this eoatraot,
of even date herewith, agamst the said

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Pabt IIL 9.]



JSond.



963



and

or administrators.



sureties, tbeir and each of their executors ^^^^^^

roa Mkdi-

CAI.AMD

LIST HEIffiHTBEFORE REFERRED TO. Suiujicai.

SUPKiOES.

General
Orders

28 Feb. 1867.



▲xtiolw.


Bfttefl or Frioeo.







As witness the Seal of the said Onardians of the Poor of
the Union, and the hand of the said

the day and year first hereinbefore written.



Bond,
Kkow all men bt these presents, that we,

are jointly and severally held and firmly bound to
the Guardians of the Poor of the
Union in the sum of of good and lawful money

ef the United Kingdom of Great Britain and Ire-
land, to be paid to the said Guardians of the Poor of
the Union, or their certain attorney, successors,

or assigns, for which payment to be well and faith-
fully made we bind ourselves jointly, and each of us
bindeth himself severally, our and each and every of
our heirs, executors, and administrators, and every
of them, firmly by these presents, sealed, with our
seals, and dated this day of in the year

of our Lord one thousand eight hundred and

Whereas, by a certain contract or agreement, bearing
eren date with this obligation, and contained on the first two
sides of this sheet, and made between the above-bounden

of the one part, and the above-named Guardians of
the Poor of the Union, of the other part, the said

hath contracted with the said Guardians of the Poor
of the Union aforesaid, to serve, supply, and deliver,

free of all expense, at in the said Union, from the

day of to the day of then next inclusive,

snch quantity of the several articles therein specified as shall
be required, of such quality, at such times, and after the rate
and price, and subject to the terms, provisions, and stipula-
tions, as in the said contract or agreement are particularly
mentioned and set forth, and as on reference thereto will more
fully appear.

Now THE CONDITION of this obligation is such, that if the
abore-bounden executors or administrators, do and



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