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(4) The Metropolitan Dispensary, 9, Fore Street.
(5) Billingsgate Mission Dispensary, 19, St. Mary-at-Hill.
(6) The City Dispensary, 29 and 30, College Street (now closed as the result
of the occurrence of a fire, but to be re-opened shortly).
The Local Government Board have since issued an Order dated the 16th November
last, providing for the compulsory notification within 24 hours, by a medical practitioner,
of every case of Pulmonary Tuberculosis which comes under his notice.
Such notification is to be made to the Medical Officer of Health for the district in
which the patient resides, and provision is made for the payment of 2s. 6d. for each
notification.
The Medical Officer of Health, on receiving the notification relating to the patient,
if the place of his residence is not within the Medical Officer's area, is required to
transmit it to the Medical Officer of Health in whose district it is situated, and at the
same time to notify the certifying medical practitioner that he has done so, and to give
him the name and address of the Medical Officer of Health to whom the notification
has been so sent.
Any expense incurred is to be defrayed by the Council of the district in which the
patient resides.
The main object which has induced the Local Government Board to require
notification of all cases of this disease is to enable local authorities to assist them in
their endeavour to combat its ravages, and for this purpose the Medical Officer of
Health is required to take such action as may appear to him necessary or desirable to
prevent the spread of inspection, and for removing conditions favourable to infection.
" Article IX. (1) For the purpose of these Regulations and of the Poor
" Law Regulations, and of the Hospital Regulations, a Council, on the advice of
" their Medical Officer of Health, may supply all such medical or other assistance,
" and all such facilities and articles as may reasonably be required for the
" detection of Pulmonary Tuberculosis, and preventing the spread of infection,
•' and for removing conditions favourable to infection, and for that purpose may
" appoint such officers, do such acts, and make such arrangements as may be
" necessary.
" Provided that nothing in this sub-section shall be deemed to authorise
" a Council to take any of the measures herein mentioned at any Poor Law
" Institution or any Hospital.
" (2) A Council, 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 Tuberculosis,
" and the precaution to be taken against the spread of infection from that disease."
The Medical Officer of Health is further required to send weekly returns to the
Medical Officer for the London County Council, and to keep a Register of all cases
brought to his notice. Forms as set forth in Schedules A and B have been forwarded
to the Medical men practising in the City, and to School Medical Inspectors in
accordance with the terms of the Order.