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Transmission of Notifications.
6. A notification to be transmitted to the medical officer of health in pursuance of these
regulations shall be enclosed in a sealed envelope addressed to that officer, and may be transmitted
by being delivered to him or by being delivered at his office or residence, or may be
sent by prepaid letter post addressed to him at his office or at his residence:
Provided that the requirement herein contained that a notification shall be enclosed in a
sealed envelope shall be deemed to be complied with if the notification is folded in such a
manner that during its transmission the particulars of the notification cannot be observed.
Fees for Notification.
7.—(1) The local authority shall pay to every medical practitioner a fee of two shillings
and sixpence for each notification duly made, signed, and transmitted by him under these
regulations except in a case occurring in his practice as a medical officer of any public body or
institution, when the fee shall be one shilling.
(2) The said fees shall in each case be deemed to cover all expenses, including the cost of
transmission.
Duties of local authority and of medical officer of health.
8.—(1) Upon the receipt of a notification under these regulations, or on becoming aware
in any other way of a case or suspected case of acute rheumatism in the district, the medical
officer of health, or a person acting under the instructions of the medical officer of health, shall
make such inquiries and take such steps as are necessary or desirable for investigating the
source of disease, for removing conditions harmful to the patient and arranging for the treatment
of the patient :
Provided that nothing in this article shall be deemed to authorise the medical officer of
health or other person as aforesaid to take any of the steps herein mentioned at any institution
other than one belonging to the local authority, except with the consent of the managers of
that institution.
(2) The duties assigned to the medical officer of health by the Sanitary Officers Order,
1926, shall be deemed to extend to and to include all action by a medical officer of health in the
execution of these regulations.
Notification not required in certain cases.
9. Where a child is an inmate of any building, ship, vessel, boat, tent, van, shed, or
similar structure belonging to His Majesty the King, nothing in these regulations shall be
construed as requiring a notification to be transmitted to a medical officer of health in respect
of that child in any case not falling within the provisions of paragraph (b) of section 5 of the
Local Government (Emergency Provisions) Act, 1916, (as made permanent by the Expiring
Laws Act, 1925, and as applied to the Royal Air Force by the Air Force (Application of Enactments)
(No. 2) Order, 1918).
Short Title.
10. These regulations may be cited as the Paddington (Acute Rheumatism) Regulations,
1927.
Given under the Official Seal of the Minister of Health, this Twenty-fifth day of January,
in the year One thousand nine hundred and twenty-seven.
(l.s.) R. B. Cross,
Assistant Secretary, Ministry of Health
INFECTIVE ENTERITIS.
This disease is notifiable in some eight other Metropolitan Boroughs. On May 2nd, 1927,
the Council made the disease known as "Infective Enteritis" or "Summer Diarrhœa"
notifiable for a period of two years. This Order was made by virtue of the Public Health
(London) Act, 1891, and is only applicable to children under the age of five years. Six cases
of the disease were notified during the year. The small number of cases notified was partly
due to the fact that the obligation to notify was a new one and not fully appreciated by the
doctors practising in the Borough. None the less the year was an abnormal one as regards
diarrhoeal diseases, the number of deaths under the age of five years being only 16 as compared