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the same district as the hospital, the medical officer of health will
forward the certificate to the medical officer of the area in which it
is situate.
The fee to be paid to the medical officer of hospitals is 1s.
each notification.
On the 15th November a third set of regulations—the Public
Health (Tuberculosis) Regulations, 1911—were issued, but these
did not come into force until the 1st January, 1912. These
regulations still further supplements the two former sets of
regulations already in force and completes the system of notification
for tuberculosis.
These regulations require every "medical practitioner attending
on or called in to visit any person, within 48 hours after first
becoming aware that such person is suffering from pulmonary
tuberculosis" to notify the same to the medical officer of health
for the area within which the residence of the patient is situate.
Also every medical practitioner who is a school medical
inspector is required within 48 hours of having inspected children
attending a public elementary school to notify all cases of pulmonary
tuberculosis of which he became aware during the course
of his inspection to the medical officer of health for the area within
which the school is situate.
The fee to be paid to the medical practitioner for each
notification is 2s. 6d., but no fee is payable to the school medical
officer. The following extract from these regulations show the
special powers given to local authorities to enable them to deal
with pulmonary tuberculosis:—
Special Powers of Councils.
Article IX.—(1) For the purposes of these Regulations
and of the Poor Law Regulations and of the Hospital Regulations
a Council, on the advice of their Medical Officer of
Health, may supply all such medical or other assistance, and
all such facilities and articles as may reasonably be required
for the detection of Pulmonary Tuberculosis, and for preventing
the spread of infection and for removing conditions
F