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42
In the County of London the death-rate from phthisis was
1.31 per 1,000, and the rates in the several metropolitan
boroughs ranged from 0.61 in Hampstead to 2.22 in Finsbury.
Notification of Phthisis.
The order of the Local Government Board, making it compulsory
for all cases of pulmonary tuberculosis occurring among
poor people, who are in receipt of indoor or outdoor relief, to
be notified by a Poor Law Officer to the Medical Officer of
Health came into force on January 1st, 1909.
Under this order the following notifications respecting poor
persons who are suffering from pulmonary tuberculosis are
required to be sent to the Medical Officer of Health: —
(а) A notification by the Medical Officer of a Poor Law
Institution respecting any inmate of the Institution
showing symptoms of pulmonary tuberculosis, who resided
immediately before his admission to the Poor
Law Institution at a place in the area in which the
Poor Law Institution is situate, and in the case of any
inmate who resided immediately before his admission
at a place elsewhere than in the area in which the Poor
Law Institution is situate, the notification must be sent
to the Medical Officer of Health for the area in which
the said place is situate.
(б) A notification by a District Medical Officer respecting
any poor person showing symptoms of pulmonary tuberculosis
upon whom he is in medical attendance according
to his agreement with a Board of Guardians.
(c) A notification by the Superintending Officer of a Poor
Law Institution within forty-eight hours after the departure
from the Institution of a poor person, who has
been an inmate of the Institution and whose case has
been notified by the Medical Officer of the Poor Law
Institution, together with the intended residence of the
poor person, such notification to be sent to the Medical
Officer of Health for the area in which the intended
residence is situate.