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It may seem a strange principle to enunciate as the very first requirement in a Hospital that it should do the sick no harm. It is quite necessary, nevertheless, to lay down such a principle, because the actual mortality in hospitals, especially in those of large crowded cities, is very much higher than any calculation founded on the mortality of the same class of diseases among patients treated out of hospital would lead us to expect. The knowledge of this fact first induced me to examine into the influence exercised by hospital construction on the duration and death-rate of cases received into the wards; and it led me to lay before the Social Science Association a paper reprinted with the present title. Since the publication of the first edition of that paper, great advances have been made in the adoption of sound principles of hospital construction; and there are already a number of examples of new hospitals realizing all, or nearly all, the conditions required for the successful treatment of the sick and maimed poor.

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We must establish on broad and solid foundations a National Health Service. Here let me say that there is no finer investment for any community than putting milk into babies. Healthy citizens are the greatest asset any country can have.

Building new hospitals or shelters alone (to treat COVID-19-infected people) is not adequate. It will also need to be complemented by community strategies, such as limiting group activities, and personal hygiene practices.

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We have plans to build a big maternity hospital. We just need to secure funding. That way is how I keep myself busy while helping others. I still work with Malawi Against Physical Disabilities. So, I write individuals in different countries to secure equipment for those with disabilities even for those in big hospitals. I also do a lot of farming in Mchinji, where I grow seed maize and beans (kholophethe). There are two villages where we look after orphans. So whatever we grow especially maize and soya beans, we donate to these kids.

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I wish that hospitals could be turned into places for experiment more than they are, in the following perfectly humane direction. Suppose two different and competing treatments of a particular malady ; I have just mentioned a case in point. Let the patients suffering under it be given the option of being placed under Dr. A. or Dr. B., the respective representatives of the two methods, and the results be statistically compared. A co-operation without partisanship between many large hospitals ought to speedily settle doubts that now hang unnecessarily long under dispute.

There is urgent need for population, but, of course, it must be of the right sort, and it must go to the right place. We do not want to make Australia a dumping ground for the world’s refuse populations, or to bring population to our already overcrowded cities, for such newcomers would not for the most part produce new wealth, but only share the wealth already there.

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