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every notification, and in the ease of a superintending officer of a Poor
Law Institution or a relieving officer at the rate of threepence for ever}:
notification, but where in relation to one and the same case two or more
notifications have been sent by a Poor Law medical officer to one and the
same medical officer of health his remuneration will be sixpence for every
notification after the first.
Article IX. provides that nothing in the regulations shall have effect
so as to apply or to authorise anyone to put in force with respect to a
person in relation to whom a notification has been made any enactment
which renders him, or any other person, liable to a penalty, or subjects
him to any restriction, prohibition, or disability affecting him or his employment,
ocaupation, means of livelihood, or residence on the ground of
his suffering from pulmonary tuberculosis. Subject to this qualification
a sanitary authority, on the advice of their medical offieer of health, may,
in the case of a poor person notified as suffering from this disease :—
1. " Take all such measures or do all such things as are authorised
" in any case of infectious disease, or of dangerous infectious
" disease, by any enactment relating to public health, and as
" have reference to the destruction and disinfection of infected
" articles or the cleansing or disinfecting of premises ;
2. " Take all such measures or do all such things as are appropriate
" and necessary for the safe disposal or destruction of infectious
" material, produced and discharged, as a result of pulmonary
" tuberculosis, and otherwise for the prevention of the spread
" of infection from any such material;
3. *' Afford or supply all such assistance,, facilities, or articles as
" within such reasonable limits as the circumstances of the case
" require and allow, will obviate or remove or dimish the risk
" of infection arising from the conditions affecting the use or
" occupation of any room when used or occupied by the poor
" person as a sleeping apartment; and
4. " Furnish for the use of the poor person, on loan or otherwise,
" any appliance, apparatus, or utensil which will be of assistance
" for the purpose of any precaution against the spread of infee"
tion."
The sanitary authority, on the advice of their medical officer of health, may
provide and publish or distribute in the form of placards, handbills or leaflets,
suitable summaries of information and instruction respecting pulmonary tuberi
culosis, and the precautions to be taken against the spread of infection from
that disease.
The Order was set out fully in Part VI., § 3, of the Annual Report for 1908.
As a large proportion of the voluntary notifications formerly received were
Poor Law cases, the great majority are now compulsory notifications under the
Public Health (Tuberculosis) Regulations, 1908.
Each notification received is treated as confidential, and nothing is done toprejudice
the patient's occupation or employment. Advice papers are sent in
all cases notified, and inquiries are made by the Woman Inspector and disinfection
carried out when requested.