Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for Wandsworth District, The Board of Works (Clapham, Putney, Streatham, Tooting & Wandsworth)]
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What plan of Notification is in force in your town ? | Do you regard yours as the best system of Notification ; or what other plan would you prefer ? | Does the plan work without friction with Householders or Medical Practitioners ? | Have many cases occnrred in which legal penalties require to be enforced against persons refusing to notify ? | REMARKS. | |||
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CHESTER (Dr. Kenyon), | On both | Yes | Yes | None | Notification clauses have been in operation since the beginning of the year. Practically the clauses against householders operate only indirectly, the medical men almost exclusively reporting | ||
CROYDON (Dr. Philpot). | On both | Yes | Yes | No; difficulty in getting evidence such as would convict has prevented our taking proceedings against the only medical man who refuses to notify | |||
DERBY (Dr. Iliffe). | On both Certainly; no other plan can possibly be successful | Yes | Twice in 9 years | ||||
DEWSBURY (Dr. Watts). | Compulsory on practitioner | Yes | Yes | No | |||
DUNDEE (Dr. Anderson). | On both | Yes | Yes | None | |||
EDINBURGH (Dr. Littlejohn). | Compulsory on practitioner | I decidedly, after 9 years' experience, think our plan the best | Yes, householders are pleased with it, especially hotel-keepers and lodging-house keepers; medical men equally so | None | |||
GREENOCK (Dr. Wallace). | No | Yes | No | Would prefer compulsory notification on both medical practitioner and householder | At first there was some friction, but by moral suasion and knowledge of favourable results, this has been gradually and almost entirely overcome | Comparatively few, moral suasions having become in most cases successful | |
GUILDFORD (Dr. Morton). | On both | The best | Yes | No; but warning has been given | |||
HALIFAX (Dr. Ainley). | On both | We consider it very good | Yes | None | Of course the householder never notifies when a doctor is attending; if no doctor is called in, then he does | ||
HARTLEPOOL (Dr. Morison). | Compulsory on practitioner | Yes | Yes | None | |||
HUDDERSFIELD (Dr. Carnham). | On both | Yes, on the whole | Fairly so | Not many | |||
JARROW (Dr. Munro). | On both | Yes | No friction except with one medical practitioner, who only notifies the existence of cases, leaving the M.O.H. to diagnose them | Only in the case of this one practitioner | |||
LANCASTER (Dr. Parker) | On both | Ye? | Yes | None | |||
LEEK (Dr. Ritchie). | Voluntary notification by all medical men sent to sanitary inspector, not to M O. H.; fee 2/6, paid by the Sanitary Authority | It answers admirably; no medical man objects | Yes | None | |||
LEICESTER (Dr. Tonkins). | On both | The dual notification has worked well for 8 years | Yes | None. A few cases have been threatened, where the friends of children suffering from scarlet fever have had no doctor in attendance and have simply neglected to report | |||
LLANDUDNO (DR. Rees) | On both | I believe it to be at least as good as any other | Yes | No | Llandudno being a watering place, the medical practitioners are keenly alive, from past experience, to the danger of infectious diseases, especially during the bathing season, and they notify with the utmost promptitude and willingness—so much so, that the clause compelling notification by householders has been allowed to become a dead letter. I am, however, of opinion that in other towns the co-operation of householders would be of great service |