New Zealand Gazette – 1927 – No. 23

Page 1117

✨ Health Regulations and Forms



APRIL 21.] THE NEW ZEALAND GAZETTE. 1117

THIRD SCHEDULE.
PART A. INFECTIOUS DISEASES.

Acute poliomyelitis.
Acute primary pneumonia.
Anthrax
Cerebro-spinal fever (cerebro-spinal meningitis).
Chicken-pox.
Cholera.
Dengue.
Diphtheria.
Enteric fever (typhoid fever, para-typhoid fever).
Encephalitis lethargica.
Erysipelas.
Influenza.
Leprosy.
Measles and German measles.

Mumps.
Ophthalmia neonatorum.
Plague (bubonic or pneumonic).
Pulmonary tuberculosis.
Puerperal fever (including puerperal septicaemia, puerperal sapraemia and septicaemia, following on abortion or miscarriage).
Scarlet fever (scarlatina).
Smallpox (including varioloid and alastrim).
Trachoma (granular conjunctivitis, granular ophthalmia).
Typhus.
Whooping-cough.
Venereal disease in a communicable form.
Yellow fever.

PART B. NOTIFIABLE INFECTIOUS DISEASES.

Acute poliomyelitis (infantile paralysis).
Anthrax.
Cerebro-spinal fever (cerebro-spinal meningitis).
Cholera.
Diphtheria.
Encephalitis lethargica.
Enteric fever (typhoid fever, para-typhoid fever).
Erysipelas.
Fulminant influenza.
Pneumonic influenza.

Plague (bubonic or pneumonic).
Puerperal fever (puerperal septicaemia puerperal sapraemia, and septicaemia following on abortion or miscarriage).
Scarlet fever (scarlatina).
Septicaemic influenza.
Smallpox (variola, including varioloid, alastrim, amaas, Cuban itch, and Philippine itch).
Typhus.
Yellow fever.

FOURTH SCHEDULE.
Department of Health. [Form 1.
APPLICATION FOR A LICENSE TO CONDUCT A PRIVATE HOSPITAL.
At [Town or district.], [Street and number, or name of hospital.]

To the Hon. the Minister in Charge of Hospitals.
I [WE] [Full name], hereby make application for a license to keep a private hospital in the under-described premises, in accordance with section 127 of the Hospitals and Charitable Institutions Act, 1926, and the regulations relating to private hospitals made under that Act.

PREMISES.
Estate or interest of applicant therein [If lease, give length of term] :
Site—Description of : Area of ground :
Plan of building as attached—Scale : inch to a foot. Aspect : Number of stories :
Materials of building (brick, wood, &c.) :
Drainage :
Water-supply :
Fire-escapes : Description : Position :
Fire-prevention appliances—Description : Position :

SANITARY AND SERVICE ROOMS.
Bathrooms—
For patients only—Nos. on plan : Fittings :
For staff only—Nos. on plan : Fittings :
Closets—
For patients only—Nos. on plan : Fittings :
For staff only—Nos. on plan : Fittings :
Sink-rooms—Nos. on plan : Size : x x Fittings :
Sterilizing-rooms—Nos. on plan : Size : x x Fittings :
Operating-theatres—
Nos. on plan : Size x x Flooring : Windows : x
Heating : Lighting : Ventilation :
Fittings, &c. :
Labour wards—
Nos. on plan : Size : x x Flooring : Windows : x
Heating : Lighting : Ventilation :
Fittings, &c. :
Kitchen block and food-storage—Nos. on plan : Description :



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✨ LLM interpretation of page content

🏥 Charitable Relief Returns and Causes of Poverty (continued from previous page)

🏥 Health & Social Welfare
Charitable Relief, Poverty Causes, Hospital Board, Financial Report, Classification, Relief Types

🏥 Infectious Diseases Schedule

🏥 Health & Social Welfare
Infectious Diseases, Public Health, Disease Classification

🏥 Application Form for Private Hospital License

🏥 Health & Social Welfare
Private Hospital, License Application, Hospital Regulations, Health Facilities