District physicians appointed in Italy and Germany, 169.--Recognition
of principle of appointing district officers in England, in the
instance of sanitary medical officers, 169.--District medical officers
need to be independent, 170.--Extent of districts, 170.--Such officers
to register and visit reported cases of lunacy, 170.--Their reports of
cases valuable, 171.--Idiots also should be registered, 171.--District
officer might sign order for admission to an asylum, 171.--Better
qualified for the duty than magistrates, 171, 175.--Illustrations from
evidence of Lord Shaftesbury and Mr. Gaskell, 172.--Suggestions
respecting signature of orders, 172.--Objections to clergymen signing
orders, 173.--Magistrate's order not required for private patients,
174.--Remarks on proposition of Commissioners to leave selection of
cases in workhouses for asylum treatment to the Union medical officer,
175.--District officer best qualified for this duty, 175.--Additional
protection afforded to lunatics by the appointment of district medical
officers, 175.--District officer to inspect lunatics in workhouses,
176.--Regulations for his guidance, 176.--Lunatics in workhouses
should be under certificate, 176.--Medical officer best judge of the
wants of cases, 177.--No removal of lunatics from workhouses without
supervision, 177.--Committee of visiting magistrates for workhouses,
178.--Principles of action of the Lunacy Commission,
178.--Commissioners' recommendation of visiting committees,
179.--Workhouses licensed to receive lunatics, 179.--Lunatics in
workhouses reported by district officer, 180.--Visitation of pauper
lunatics by parish authorities, 180.--No such visitation of county
lunatics, 180.--Desirability that county lunatics should have a
visitor, 181.--Determination of question of lunatics chargeable best
left to district officer, 181.--Duties of district officer with
outdoor pauper lunatics, 182.--Need of inspection of singly-placed
lunatics, 182.--Cost of such inspection, 183.--District officer to
visit single cases in lodgings, &c., 183.--To visit private asylums as
the physician, joined in inspection with the magistrates,
183.--Position and remuneration of district officers, 184.--Such
officers to be met with, 184.--District officers engaged in
medico-legal inquiries, 185.--Such a class of officers much needed,
185.--Neglect of organization in State medical matters, 186.--A proper
organization not necessarily costly, 186.