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were paid to them for writing the reports. In view of the great
importance of collecting as much information as possible relating
to this obscure disease, the withholding of details as to symptoms,
etc., is to be regretted; it ought to be obtained, and to be
paid for.
Pneumonia, Malaria, etc.—The Public Health (Pneumonia,
Malaria, Dysentery, etc.) Regulations, 1919. These regulations,
which were made by the Local Government Board, came into force
on 1st March, 1919, and provide for the notification by medical
practitioners of malaria, dysentery, trench fever, acute primary
pneumonia and acute influenzal pneumonia. They contain provisions
for the special treatment of patients suffering from these
diseases, and in this connection memoranda were issued by the
Board dealing with the nature of the diseases and the action
authorised and advised.
Pneumonia.—There were 181 cases of influenzal pneumonia
and 67 of primary pneumonia notified. As provided in the Regulations,
where the nursing was found to be inadequate a nurse was
sent from the King's Home for Nurses in accordance with an
arrangement made with the Superintendent at a fee of 1s. per
visit, or where there were two or more cases in the house, l0d. per
visit. During the year 969 visits were so made at a cost to the
Council of £45 1s. 6d.
Malaria.—The total number of cases of malaria certified was
124, all of which, it was ascertained upon enquiry, had been contracted
out of England. Col. Sir Donald Ross., F.R.S., Consultant
in Malaria to the War Office, and Lt.-Col. S. P. James, M.D.,
Medical Inspector and Adviser on Malaria to the Local Government
Board, drew up a series of "Suggestions for the Care of Malaria
Patients" for the information of medical practitioners, and copies
of these "Suggestions" were supplied by the Public Health
Department to medical practitioners who notified cases of the
disease and who were desirous of obtaining expert information.