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*Notifications have been received weekly from the Tuberculosis Officer of
our area. (No. 1) ever since November, 1917, on form C. These are very
helpful.
Scholars. Two children, both boys, were notified by the School Medical
Inspector during the year as suffering from tuberculosis, one from pulmonary
tuberculosis, and one from other form of tubercle.
The Local Government Board held an enquiry concerning certain complaints
made by patients and ex-patients at the Clare Hall Sanatorium, South
Mimms. In the report of the Board the following paragraph occurred:—"In
general it would appear to the Board that the complaints made by the patients
at the Sanatorium are to some extent the outcome of a spirit of restlessness and
discontent, which may have been fostered by the failure of the Sanatorium
Authorities, either to provide sufficient occupation for the patients or to insist
on the work provided being properly carried out."
County Councils in all parts of the country have the duty of administering
the Public Health Regulations of 1912 through their medical officers. The
extent to which this duty is carried out locally can only be judged from the
official reports, but no uniform system of recording cases or of registering results
has yet been adopted, and each report has to be judged upon its merits.
Certain features, however, are common to them all. The better average of
results following early treatment, the liability to relapse on returning to home
conditions, the urgent need for segregation of actively infective cases, and
finally, the complete failure of the regulations (as at present administered) to
be an effective means of hastening the eradication of the disease in large urban
areas.
THE MEASLES EPIDEMIC.
There were seven deaths, compared with 17, 29 and 26, in 1917-16-15.
This number is equal to a death-rate of 0.09 per 1,000 living, compared with
0.23 last year. The rate was 0.28 in England and Wales, 0.42 in London,
and 0.36 in the 96 Great Towns (including London).