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The Committee decided to recommend to the Minister that the Paddington (Acute Rheumatism) Regulations, 1930,
be revoked. This was done in the Acute Rheumatism Regulations, 1950, and as from the 1st October, 1950, the
Paddington regulations were revoked. In these same regulations, however, the disease was made notifiable in certain
parts of the country where special study of the disease is being made.
This closes an interesting chapter in the Public Health work of Paddington. The borough was without doubt the
pioneer borough in tackling this problem, but the change in the circumstances brought about by the National Health
Service Act has so altered the position that the responsibility for this work now rests elsewhere. The Public Health
Department will, of course, always follow this work with interest and make its contribution in dealing with
environmental factors.
Bacteriological Examinations.—The number of examinations made in connection with infectious disease was 239,
including 33 examinations for tuberculosis.

Typhus and smallpox cases are visited by the male Sanitary Inspectors, food poisoning or suspected food poisoning
by the Food Inspectors, puerperal pyrexia, ophthalmia neonatorum and infective enteritis by the London County
Council's Health Visitors, and tuberculosis by the Nurses at the Chest Clinic.
Visits to cases of infectious disease paid by the male Sanitary Inspectors numbered 85, nearly all of which were
to smallpox contacts referred to us by Port Authorities or under the Aircraft Regulations.
tuberculosis.
Notifications.—Two hundred and forty-six new cases of pulmonary tuberculosis and 23 of non-pulmonary
tuberculosis were notified, being a decrease of 59 pulmonary cases and a decrease of 5 non-pulmonary cases compared
with the previous year. The number of cases on the Notification Register at the end of the year was 1,213 against
1,180 at the end of 1949.

Thirty-three cases of tuberculosis came to the knowledge of the Department during the year otherwise than by
formal notification. These are classified as follows