View report page

67
notified, unless the practitioner is no longer available for consultation
owing to his having died or left the district.
As regards (6), the Minister is advised that the removal of
a case from the Register as " cured " is justified in pulmonary
cases in which for a period of five years there have
been no symptoms of tuberculosis and no signs of tuberculous
disease, except such as are compatible with a completely
healed lesion, and sputum, if present, has been free from
tubercle bacilli; and in non-pulmonary cases in which three
years have elapsed without any signs or symptoms of active
disease.
In cases where the notified person has come under the
supervision of the dispensary organisation of the County,
County Borough, or Metropolitan Borough in which he
resides, information should be available in the dispensary
records as to cases of " cure," and also as to cases which,
subject to the concurrence of the notifying practitioner,
should be deleted from the Register as non-tuberculous. In
county areas the Minister has no doubt that County Councils
and Tuberculosis Joint Committees will be prepared to arrange
for their Tuberculosis Officers to communicate such information
to the District Medical Officers of Health, as well as
any information to the District Medical Officers of Health, as
well as any information which may be in the possession of the
Tuberculosis Officers as to deaths or removals from the district
of persons who have been under supervision (whether or not
accompanied by domiciliary or other active treatment) under
the tuberculosis scheme.
In the case of other notified persons, such inquiries as may
be practicable should from time to time be made of the notifying
practitioner with a view to keeping the Register up-todate.
2. Apart from cases formally notified under the Regulations
of 1912, a District Medical Officer of Health may become
aware of some new cases of tuberculosis in his district from
other sources, e.g., from death returns of cases not notified,
notices received from the Medical Officers of Health of other
districts as to transfers to the district, etc. Although particulars
of such cases do not, strictly, form part of the
Register of Notifications, the Minister considers that to
complete the record of existing cases of tuberculosis it is
desirable (hat particulars of such cases should be entered
in the Register in similar form to the particulars of notified
cases, but specially distinguished as having come to the notice
of the Medical Officer of Health otherwise than by notification
under the Regulations. Particulars of such cases should also
be included, similarly distinguished, in the weekly returns