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Hospital Board.

The Ashburton Hospital Board held a meeting thia C)OruinK- Prosent-JMoFsrg r T Barter (in the chair), 11. Davis, p. S;i£an.G.W. Andrews, Kc«id, S. Chnpman H- Friedlander, Nosworthy, Dickie, and Stuait. SPECIAL MEETING. Before the ordinary business of the meeting <™B be»un> tho question or establishing a consumptive sanatorium fur Canterbury was considered. Dmi Finch (of Christchurch), Clarke, Bovd and Belt were present. Pr Finch said the proposal w;s that a sanatorium c erected for Cnntorbuiy district Tho question to be decided was whether the Boaid wished to join that; scheme or erect separate accommodation in connection with ihe Ashburton hospital. The epea&er then by charts and figures proceeded to show the need for coping with tabeiculosis. The London denth rate was IS per year per 10.000 of population. In Dunedin, Wellington, Christchurch, and Auckland, the rate was 12 per 10,000. The reasonable contention was that as the conditions in N.Z. towns approach those of London, the death rate would equal and possibly exceed that of London. Cancer was the next most dangerous disease to tuberculosis. Most people suffering from tuberculosis die before the age of 30, while cancer fioes not usually kill before 50. The population in Ashburton County is 13,000. Probably 10 people die there every year from consumption, and as the duration of consumption is three year?, this means that there are SO patients suffering from the disease every year. Of these it is estimated 11 are curable,- eight having no means of being treated. At Nurse Maude's camp 5 cases have been treated from the Ashburton district. Five incurable cases in the County are also living under conditions dangerous to their families. The views of the medical profession are that the disease can be treated better in a sanatorium than anywhere else. If the institution is put up, the consumptive camp.9 will be done away with, and then there will be no provision for Ashburton patients outside Ashburton unless the district joined in the scheme. In answer to Mr Friedlander, Dr Finch eixplained that the Board had no power to compel tuberculosis patients to go into a sanatorium. The experience of other countries went to show that such an institution was appreciated, and patients went in willingly enough. Mr Davis said he understood Nurse Naude's Camp would be closed in any case. Mr Harper asked for particulars as to cost. Dr Finch replied that the cost of establishing the beds was estimated at .£IOO each roughly, and ,£IOO per bed for maintenance. Mr Ferriman asked if alcohol did not largely cause consumption. Dr Finch replied that; alcoholics were no doubt more subject to the disease than others ; but over crowding and any cause that injured the general health tended to increase the danger of contagion. Mr Friedlander asked how one institution could fight the disease. Dr Finch replied that it would be safer to start in a small way and find out the demand. There were a number who could be treated at home, and others could go to the institution for a time and be educated on the treatment of the disease, and thus spread the knowledge among others. It ceemed, as Mr Friedlander said, absurd to provide 60 beds for a possible total of 500 patients. But a sanatorium wa^only one of the ways of fighting the diseaEo. Mr Nosworthy asked about the locality '■ proposed. He thought a low lying place 'such as Christchurch was not suited for the disease. High altitudes were understood to be the best. Dr Finch replied that that idea was not now so generally accepted. Some cases could be best treated in high altitudes ; but the majority could be treated jusb a3 ■well in low lying localities. A site in a high altitude entailed more expense. The site at Bottle Lake was a good one. Mr Andrews suggested that the medical men be heard. Mr Nosworthy asked was this disease spreading more than cancer. Dr Finch replied that consumption was four times as fatal as cancer. Consumption was curable and preventibla whereas cancer waß incurable and unpreventible. Dr Boyd eaid that with regard to the question of Ashburton or Chriatchurch there was a good deal to be said on both sides. It would be cheaper to have an annexe at Ashburton, and patients would be nearer their friends. The climate here would be a good one. Probably the system would not be so efficient at an annexe as at a central institution, and the public would probably subscribe more readily for the Jatter. The Bottle Lake site and climate was extremely good. If the County decided to send their cases to tho central sanatorium, they had a voice in the management and the appointment of the medical officer. There ■were many aspects of the question of treatment. The treatment of the curable cases was all that was proposed to be dealt with tinder the proposal. In reply to Mr Andrews Dr Boyd said that he thonght the central institution, the best. ORDINARY MEETING. The report for the last six months was read by Mr Davis. Reference was made in complimentary terms to the services of Dr Trevor, and also t^ the services of Mr Harrison (resigned). Painting and tinting, and other works were executed by Messrs Collins and Co, at a total cost of Is, and no farther expense will be required for some time. The thanks of the Board are due to the Ladies' Committee. The fees from patients have increased for last year by £65 13s lid. The Committee purchased an ambulance waggon for the conveyance of infectious cases to the Hospital. The Committee propose to, insure the buildings and contents in the State Fire Department, as a quid pro quo for Government subsidies. The Committee expects the next report of the Inspector General of Hospitals will be more favourable. The report was adopted. Mr Harper moved and Mr Chapman seconded that a half-year's extra salary (£76) be voted to Dr Trevor. The Mayor and Mr Eeid and Mr Nosworthy were appointed members of the Managing Committee. Speaking on the motion to grant Dr Trevor an extra half year's salary, Mr Ferriman said he was confident no man had done his duty to the County more thoroughly. Mr Eeid said that no complaint except an evidently frivolous one had ever been made against the late surgeon. Mr Davis said he had never found anything to make him alter his opinion that Dr Trevor was the right man in the right place. He sopported the motion. Mr' Andrews agreed that Dr Trevor had done admirable work j but he pointed out that he had already been paid for his services. The public would possibly object to public funds being used in this way. He, however bad no objection to the BUggested appointment of Dr Trevor as honorary surgeon. , „ . . . Mr Friedlander aaid he had his misgivings about the action about to be taken by the Board. He bad known Dr Trevor long and favourably. Dr. Trevor had received the pay the Board had fixed on, and it was dangerous to establish a precedent by voting six months' extra salary. That had never been done befoie. If the doctor was entitled to such a vote, he should have had his salary raised before. Mr Ferriman said something similar had been done in the case of the County Engineer. Mr Friedlander said the doctor s resignation had been already received. i Mr Ferriman said he would be willing to j sac every servant of the Hospital receive six months' extra salary after twenty-five years'service. Mr Eeid said Dr. Trevor had never taken '. the holidays be might have taken, and ! which others of the staff had taken. Mr Harper eaid that now after tne; resignation, it was impossible to give Dr. Trevor six months' leave of absence. Jhe vote would have to pass the Government Auditor, which it probably would. He was sorry there was any opposition. Seven*.yfive pounds was not a large amount. Dr. Trevor had never asked for a rise. The motion was carried. THE HOUSE SURGEON. One application was received for the position of house surgeon from Dr. Hunter while Or. Boyd applied for the post of either house surgeon or MSistanthouw surgeon, and Dr. Bett applied for the post Dr. Hunter be appointed senior houße surgeon. I Mr Davis seconded the motion. Mr Friedlander suggested a revision of the salaries. In Christchuvch the resident surgeon received .8150 and had no private practice allowed. He thought the matter of getting a resident surgeon should be con- " M?Du*ie moved aa an amendment that f)v, JBoyd h* appointed.

Messrs Stewart, Nosworthy, Ferriman, Dickie, and Friodlandor voted for Dr. Boyd. Messrs Soul, Andrew?, Davis,Hurper, and ! Cli«i>ra:ui voted for Dr. Hunter. 'ih«. voting was thus five ouch, Mr Harper gave his casting vote in favour of Dr. Hunter oa the ground that he wass the surj. c :n of the longest residence in th^ d strict. Mi' Llarpor moved that Dr. Boyd bo appointed assistant surgeon. This motion was carried. The Hoard then adjourned, and another meeting will bo hold on a da'e to be fixad. A veto or' thanlis was passed to the medical men fur thoir ftttomiaace.

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Bibliographic details

Hospital Board., Ashburton Guardian, Volume XXII, Issue 6603, 23 June 1905

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Hospital Board. Ashburton Guardian, Volume XXII, Issue 6603, 23 June 1905

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