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(14.) He shall keep a book or books, to be provided by the Sanitary
Authority, in which he shall make an entry of his visits, and
notes of his observations and instructions thereon, and also
the date and nature of applications made to him, the date
and result of the action taken thereon, and of any action
taken on previous reports; and shall produce such book or
books, whenever required, to the Sanitary Authority.
(15.) He shall also make an annual report to the Sanitary Authority,
up to the Thirty-first day of December in each year, comprising
a summary of the action taken, or which he has advised the
Sanitary Authority to take, during the year for preventing
the spread of disease, and an account of the sanitary state of
his District generally, at the end of the year. The report shall
also contain an account of the inspections and inquiries which
he has made as to conditions injurious or dangerous to health
existing in his District, and of the proceedings in which he
has taken part or advised under any Statute, so far as such
proceedings relate to those conditions; and also an account of
the supervision exercised by him, or on his advice, for sanitary
purposes over places and houses that the Sanitary Authority
have power to regulate, with the nature and results of any
proceedings which may have been so required and taken in
respect of the same during the year. The report shall also
record the action taken by him, or on his advice, during the
year, in regard to offensive trades, to factories and workshops,
and to dairies. The report shall also contain tabular statements
(on Forms to be supplied by us, or to the like effect) of the
sickness and mortality within his District, classified according
to diseases, ages, and localities :
Provided that, if the Medical Officer of Health shall resign
or be removed before the Thirty-first day of December in any
year, he shall thereupon make the like report for that part of
of the year during which he has held office.
(16.) He shall give immediate information to Us of any outbreak
of dangerous epidemic disease within his District. He shail
transmit to Us a copy of each annual report and of any special
report made by him. On his advising the Sanitary Authority
with a view to their requiring the closure of any school or
schools, in pursuance of the Code of Regulations approved by
the Education Department and for the time being in force, he
shall forthwith report specially to Us the grounds of his advice
(17.) At the same time that he gives information to Us of an outbreak
of dangerous epidemic disease, or transmits to Us a
copy of his annual report or of any special report, he shall give
the like information or transmit a copy of such report to the
London County Council.
(18.) In all matters not specifically provided for in this Order, he shall
observe and execute any instructions issued by Us, and the