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No opinion can be expressed on the relative value of the
various forms of treatment.
The Council has made provision in the estimates for the
expenditure for Dental treatment for tuberculous patients.
No definite arrangements for the provision of nursing
exists, but advantage is taken of the services of the District
Nurses' Association in cases where home nursing is required.
Patients requiring surgical apparatus are referred to one
of the Voluntary Associations.
No provision has been found practicable for the finding of
employment for T. B. patients.
Shelters are not provided by the Borough Council.
No special points as regards occupation have been noted.
The usual maximum incidence is found in the poorer and
more populated parts of the Borough.
Housing difficulties still exist, and overcrowding obtains
in many instances.
PUBLIC HEALTH (TUBERCULOSIS) REGULATIONS,
1012 and 1921.
In December the Minister of Health issued new Regulations
to be known as the Public Health (Tuberculosis) Regulations,
1924.
I.—Notifications wider the Regulations.
The Minister of Health referred to the Public Health (Tuberculosis)
Regulations, 1912 and 1921, and stated that as a
result of the examination of the annual summaries of notifications
of tuberculosis received during the year 1923, which
have been furnished to this Department by the Medical Officers
of Health of Counties, County Boroughs, and Metropolitan
Boroughs, he desired to direct the attention of Local Authorities
to the following matters with a view to securing a greater
measure of uniformity in the procedure of notification and a
stricter compliance with the requirements of the Regulations
in each district.
1. It appears that in some instances formal notification of
tuberculosis under the Regulations has not been made until
after the death of the patient has occurred. He pointed out
that, in notifying a case of tuberculosis, the medical attendant
is required to certify that th-e. -person is suffering from tuberculosis,
and he is advised that a notification which is made
after the notifying practitioner is aware of the death of the
patient is not a notification duly made and transmitted under
the Regulations, or one which entitles the practitioner to the
payment of the prescribed fee. The Minister therefore does
not consider that such a notification should be regarded as a
formal notification under the Regulations, and for statistical