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2. Under the 1919 Regulations if a case of malaria had been
notified within six months of the date of the medical
practitioner becoming aware of its existence he did not
require to notify the case ; under the new Regulations
he must do so whether the case has been previously
notified or not.
3. Cases of General Paralysis of the Insane are sometimes
treated by artificially giving them malaria. Under the
new Regulations if malaria is induced in a hospital for
therapeutic purposes it is not notifiable unless the medical
practitioner in charge of the patient considers that the
patient is liable to relapses of malaria. In such a case
a notification must be sent within four days of the
patient's discharge from hospital to the Medical Officer
of Health of the district in which the patient proposes
to reside.
4. Under the Regulations the Local Authority, in order to
prevent the spread of enteric fever or dysentery, may
serve notices which result in persons employed in food
occupations having to discontinue their work through no
fault of their own. Compensation may now be given in
these cases under Article 7 of the new Regulations which
make Section 308 of the Public Health Act, 1875, applicable
to enteric fever and dysentery.
Cancer.
In 1926, cancer caused 53,220 deaths in England
and Wales which represented between one-eighth and
one-ninth of the mortality from all causes and this
disease accounted for more deaths than any other
cause, except diseases of the heart.
In Fulham, during the last two years, the number
of deaths from cancer exceeded that from any other
disease, 262 deaths occurring in 1926 and 220 in 1927.
The mortality frorn malignant disease has increased
during recent years; for example, the deaths in Fulham
numbered 220 in 1927 compared with 176 in 1913,
while the cancer death-rate per thousand of the population
was 1.4 in 1927 compared with 1.1 in 1913.
Part of the increase is only an apparent one; more
cases are diagnosed because the facilities for diagnosis
in difficult cases such as those occurring in inaccessible