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Two other cases of Scarlet Fever were notified by
householders and one by the Metropolitan Asylum Board,
but were not certified by Medical Attendants.
The Act continues to work quite satisfactorily and none
of the friction that was foretold by its opponents has
occured.
As I said last year I was from the first opposed to the
principle of "dual notification" as it is called, that is to say,
of notification by the householder, as well as certification
by the medical attendant, as I consider that an unnecessary
complication was thereby introduced, and the event has
justified my anticipation, for, as a matter of fact, the Act is
now made effective entirely through the certificates given
by the medical attendants, as we scarcely ever receive any
notifications from householders, nor do we want them. So
far from cases being concealed owing to the operation of
the Act, we hear of numbers of cases that we should not
have heard of if it were not for the operation of the Act.
Sanitary Legislation.
The following important Acts relating to Sanitary matters
were passed during the year 1890. "The Customs and
Inland Revenue Act," by Section 26, of which Medical
Officers of Health are required to furnish certificates to the
owners of Artizan's Dwellings, if the rents do not exceed
7s. 6d. per week, and if each dwelling is so constructed as
to afford suitable accommodation for each of the families