It is, however, fair to say that this policy of restricting outdoor medical relief was not expressed in any alteration of the General Orders, nor, explicitly, in any published minute or circular of the Central Authority itself. In the 1871 Circular, discouraging outdoor relief generally, it is, for instance, merely suggested that all paupers receiving relief on account of temporary sickness--among whom there were at that date apparently some 119,000 sick persons[665]--should be visited at least fortnightly by the relieving officer.[666] The Central Authority clung to the general disqualification of paupers, even those in receipt of medical relief only, though the Parliamentary Secretary had to admit that: "No doubt the Legislature had made an exception in the cases of vaccination and of education, and it might be that the exception should be extended to infectious diseases."[667] But when it was pressed to impose a limit of one month to each grant of outdoor relief, the request was, on the cautious advice of the permanent advisers, definitely refused, lest hardship should be caused in cases of sickness; though it was said that the guardians themselves might put such a limit, "where such ... may properly be imposed."[668] [665] _See_ the statistics in Twenty-second Annual Report of the Poor Law Board, 1869-70, p. xxiv. [666] Circular of 2nd December 1871; in First Annual Report of the Local Government Board, 1871-2, p. 67. [667] Mr. Salt, as Secretary of the Local Government Board, on Disqualification by Medical Relief Bill, _Hansard_, 11th December 1878, vol. 243, p. 630. In 1876 the disqualification had been explicitly re-enacted in the Divided Parishes and Poor Law Amendment Act (39 & 40 Vic. c. 61, sec. 14), promoted by the Central Authority itself, whose Parliamentary representatives continued for years to resist all proposals for its abolition or attenuation. In 1883 it was incidentally undermined by maintenance and treatment in the infectious diseases hospitals of the Metropolitan Asylums Board being declared not to be parochial relief (Diseases Prevention Act 1883, 46 & 47 Vic. c. 35). Not until 1885 did the Central Authority consent to its abolition, as regards persons in receipt of medical relief only, in the Medical Relief Disqualification Act 1885 (48 & 49 Vic. c. 46). Even then the "stigma of pauperism" was preserved, by omitting to repeal sec. 14 of the 1876 Act above cited, so that persons in receipt of medical relief only are still nominally disqualified from voting at an election of a Poor Law guardian, "or in the election to an office under the provisions of any statute." [668] Local Government Board to Chairman of Central Poor Law Conference, 12th May 1877; in Seventh Annual Report, 1877-8, p. 55.