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Article IV.—This Order may be cited as the Metropolitan Asylums (Whooping
Cough) Order, 1912.
From the foregoing it will be seen that such non-pauper cases shall be received
into hospitals of the Board of Management only when there is room available beyond
the requirements of pauper cases of Whooping Cough, and that, subject to certain
exceptions provided for in Article II., non-pauper cases may only be admitted on the
recommendation of the Medical Officer of Health of the locality in which the patient
resides, such recommendation to be accompanied by any detailed information required
by the Board of Management.
This Order came into operation on the 9th August, 1912.
I have not had occasion to recommend any individual for admission to the Board's
Hospital since the Order became operative.
RECEPTION OF CASES OF PUERPERAL FEVER.
By the same powers as those referred to in the notes on Reception of Cases of
Whooping Cough, the Local Government Board have issued an Order providing for
the reception of non-pauper cases of Puerperal Fever into hospitals provided by the
Metropolitan Board.
The conditions are the same as those with regard to Whooping Cough enumerated
above, and the Order came into operation on the 20th August, 1912.
No case has arisen in the City since the Order became operative necessitating
action thereunder.
NOTIFICATION OF CEREBRO SPINAL FEVER (EPIDEMIC
CEREBRO SPINAL MENINGITIS).
As a preventive measure against the spread of the above-mentioned disease,
which is still in evidence in London, the London County Council have, in accordance
with the provisions of Section 56 of the Public Health (London), Act, 1891, made an
Order, requiring for a further period of twelve months, as from and including the
18th March, 1912, the notification of cases of Cerebro-Spinal Fever (Epidemic
Cerebro-Spinal Meningitis) in the Administrative County of London, and such Order
has been duly approved by the Local Government Board.
On the advice of a Committee appointed by the President of the Royal College
of Physicians, it has been decided that for notification purposes the disease at present
known as Posterior Basal Meningitis shall be included in the term "Cerebro-Spinal
Fever," which term shall not, however, be interpreted to include cases of Meningitis
due to Tuberculosis, Syphilis, Middle Ear disease or injury.
Cerebro-Spinal Fever was first made notifiable in London by Order of the Local
Government Board for a period of six months as from the 12th March, 1907, and has
been extended by renewed Orders from year to year, the provisions of notifications having
been in continual operation since 1907.