View report page

98
the lines of the Grancher system in Paris—the removal at birth of
children from homes with cases of tuberculosis—offers the best means
of prevention. It has been shewn that during the first year of life
if infection occurs, it is likely to result in acute or sub-acute disease
proving fatal in nearly all cases. The danger is, of course, particularly
great where the mother is suffering from Pulmonary Tuberculosis, and
some statistics have shewn that three quarters of the children born
during the last year of life of tuberculous mothers die. In a series
of 787 children born or living in 175 families, one or more of whom
were tuberculosis 323 were placed in the country and did well, 396
were not removed, and of them 328 developed tuberculosis.
These and similar figures published recently giving further results
of this system in Paris shew the immense importance of removing
children at once from Tuberculous parents. The removal should be
for the first two years of life, as by this time the child will probably
through unavoidable but small doses of infection have acquired a
considerable resistance to further infection and disease.
Yours faithfully,
N. M. Donnelly,
Tuberculosis Officer.
Public Health (Prevention of Tuberculosis)
Regulations, 1925.
These Regulations came into operation on the 31st July, 1925, with
the object of preventing anyone suffering from tuberculosis of the
respiratory tract in an infectious state, from handling milk. Until
the passing of these Regulations no steps could be taken against
anyone so employed.
Section 3.—Calls upon the local authority to enforce the Regulations
and to that end to make enquiries and take such steps as may be
deemed necessary for securing their due observance in the district.
Section 4.—Forbids anyone who is aware that he is suffering from
tuberculosis of the respiratory tract from entering upon any employment
or occupation in connection with a dairy which would involve the
milking of cows, the treatment of milk, or the handling of vessels used
for containing milk.
Section 5.—Enables the local authority to forbid anyone so
affected (Pulmonary tuberculosis with a positive sputum) from continuing
the occupation.