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The notification to be made by medical practitioners may be divided into two
classes, described as "Primary" and "Supplemental." "Primary notification" is
required in every case of Tuberculosis unless the medical practitioner has reasonable
grounds for believing that the case has already been notified.
"A Supplementary notification" is an additional notification of a case previously
notified.
All "Primary notifications," with the exception of those made by School Medical
Inspectors, are to be made on Form A.
School Medical Inspectors are to notify on Form B.
"Supplemental notifications" are to be made out by Medical Officers of Poor Law
Institutions and Sanatoria only on Forms C. and D.
Article VI requires the Medical Officer of Health
(1) To send to the appropriate district all notifications erroneously addressed
to him and to notify the notifying practitioner that he has done so.
(2) To keep a Register under his personal charge, containing the full particulars
set out in each notification.
(3) To send a weekly return to the Medical Officer of Health of the London
County Council of all cases received by him.
Article XIII. empowers the Local Authority on the advice of their Medical Officer
of Health to supply such medical and other assistance, such articles and facilities as
may reasonably be required for the detection of Tuberculosis, for preventing the spread
of infection and for removing conditions favourable to infection, do such acts and make
such arrangements as may be necessary, and further may provide, publish or distribute
suitable summaries of information, instructions and precautions with regard to
Tuberculosis.
Nothing in the Regulations is, however, to authorise any action which renders the
person notified liable to a penalty or subjects him to any restriction, prohibition, or
disability affecting him or his employment on the grounds of suffering from
Tuberculosis.-
Exemptions from the notification obligations have been made in the case of medical
practitioners acting in the capacity of
(1) Medical Officers of H.M.'s Prisons, Institutions, Certified Reformatory
Schools, Certified Industrial Schools, State or Certified Lunatic Asylums ;
(2) Medical Examiner of candidates for some office or appointment;
(3) Medical Examiner on behalf of an Insurance Company ;
(4) Medical Examiner of passengers and crew on an Emigrant ship, or
(5) Certifying Surgeon under the Factory and Workshop Acts.