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6
There is a welcome reduction in the death-rate from consumption.
The voluntary notification of this disease, in the absence of anything
approaching adequate provision for the removal of the advanced and
dangerous cases notified, has proved in practice what comes very near
to being a failure. The limited amount of good which it is possible to
do among the advanced cases of the disease, who are almost without
exception in the border line of poverty, and who constitute quite fourfifths
of the cases voluntarily notified, points to the necessity of
obtaining the compulsory notification of the disease, so that we may
learn of the existence of cases in the earlier stage, and of all the cases
who are able to benefit from our assistance and advice. The compulsory
measure works without any friction or hardship, and is in every
respect satisfactory, where it has already been enforced, as in Sheffield.
Again I am able to record my satisfaction at the manner in which
the work of the department has been carried on by the present
members of the staff. The appended Report of the Chief Sanitary
Inspector will be found to be a very satisfactory record of work.
I am, Gentlemen,
Your obedient Servant,
February 14th, 1906. HENRY KENWOOD.