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87
In all cases notified the nurses visited and obtained all
the necessary information. Any insanitary conditions
found to exist were referred to the Sanitary Inspectors.
One hundred and thirty-five deaths from Pulmonary
Tuberculosis were registered, against one hundred and
nine in the previous year, representing a death-rate of
1.0 per 1,000 compared with 0.8 in 1981.
The notification of cases of Tuberculosis by medical
practitioners is, unfortunately, not carried out in all cases
as required by the Regulations, that is within 48 hours of
the same coming to their knowledge.
There are undoubtedly many difficulties attending the
notification of this disease, but the efforts of Local
Authorities, and the money spent in combating this
disease are to some extent rendered nugatory.
In all cases where failure to notify occurs, the attention
of the medical practitioner is called to the fact and his
observations requested.
The majority of the non-notified cases are tuberculous
meningitis, the diagnosis being made at the post mortem.
It has not been deemed necessary to take any further
action as the explanations have been considered satisfactory.