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into force on the 1st January, 1908. The necessary steps in connection
with the outbreaks, together with the cleansing and disinfection of the
infected stables, are undertaken by the officers of the County Council.
Tuberculosis.
Compulsory Notification of Hospital and Dispensary Cases.— Under
an Order which came into force on the 1st May, 1911, the system of
notification which was made compulsory for Poor Law cases in 1909,
was extended to persons attending any hospital or dispensary.
The total number of certificates received in the year was 1,393 ; 488
were under the Poor Law Order, 510 under the Hospitals Order, and
395 under the Council's Voluntary Scheme, Deducting 284 referable
to other districts, 1,109 certificates were received in connection with
Westminster cases. The number of new cases of pulmonary disease
was 356, of whom 100 were homeless persons or inmates of common
lodging-houses, &c.; 102 of the persons affected were females.
Poor Law Order.—Of 488 notifications received, 392 were from
medical officers of poor law institutions of which the patients were
inmates, 33 from out-door medical officers, and 63 were notices of discharge
from infirmaries. 160 (34 females) of the poor law cases notified
had not been registered previously ; and of these, 98 gave addresses of
common lodging-houses, shelters, casual wards, or were homeless (28
including 2 women). 248 notifications were received in connection with
139 persons of this class, 41 of whom had been previously notified
in the years 1905-10.
Hospital Order.—510 certificates were received, but 284 of these
related to persons living in other districts and were forwarded to the
districts in which the patients lived. Of the remaining 226 certificates,
103 related to persons already registered. There remained 123 persons
(38 females) who had not been previously notified; 2 of these were
inmates of common lodging-houses or homeless.
Voluntary.—Of the 395 intimations received 73 (30 females)
related to persons suffering from pulmonary tuberculosis, and 38 (21
females) to other forms of the disease, none of them having been
registered previously ; 102 suspects were registered, and in 25 instances
the suspicion was confirmed, in 69 it was negatived. There were also
recorded 182 changes of address, not including removal to hospital
infirmary, and sanatorium, &c.
On the next page is a return showing the ages, wards, &c., relating to
cases not previously registered,