London's Pulse: Medical Officer of Health reports 1848-1972

View report page

Lewisham 1913

[Report of the Medical Officer of Health for Lewisham Borough]

This page requires JavaScript

60
The following is a short resume of the action taken by
the Public Health Department on receipt of Notification of all
forms of Tuberculosis. As a preliminary it may be useful to
outline the progressive steps in Notification since 1906.
Voluntary Notification.—A system of voluntary notification
of Pulmonary Tuberculosis was adopted by this
Council in May, 1906, and continued in operation until
February, 1912.
Local Government Board Regulations ior partial
notification.—In January, 1909, the Public Health (Tuberculosis)
Regulations, 1908, came into force, and provided
for notification by the Medical Officers of Poor Law.
Institutions and District Medical Officers of the Poor Law.
On May 1st, 1911, the Public Health (Tuberculosis in
Hospitals) Regulations, 1911, were brought into operation,
and required notification by the Medical Officers of all
Hospitals, and this was followed by the Public Health
(Tuberculosis) Regulations, 1911, which placed upon
medical practitioners and School Medical Inspectors the
duty of notification.
Up to this time only pulmonary forms of tuberculosis
were notifiable, but in December, 1912, the Public Health
(Tuberculosis) Regulations, 1912, were issued, and superseded
all the previous Regulations which were in force.
These Regulations provide for the notification of Pulmonary
and all other forms of Tuberculosis by medical practitioners
in private practice and by Medical Officers of Hospitals,
Sanatoria, and Poor Law Institutions.
The voluntary system was not altogether a success in
this Borough. During the six years in which it was in
operation only 221 cases were notified, and in 60 instances
we were asked by the medical practitioner notifying not
to send our Health Visitor to the patient's home.
Under the "Poor Law" Regulations of 1908, 371
notifications were received during the four years 1909.12.
The "Hospital" Regulations resulted in 89 cases
being notified in each of the two years 1911 and 1912, and